Cardiac Lipoma of the Interventricular Septum

  • Rodrigo Maia Alves Medicine Department, Internal Medicine Service, Hospital Sousa Martins, Guarda, Portugal
  • Cristina Gamboa Medicine Department, Cardiology Service, Hospital Sousa Martins, Guarda, Portugal

Keywords

Cardiac lipoma, primary neoplasms of the heart, cardiac magnetic resonance imaging

Abstract

Cardiac lipomas are rare benign primary neoplasms of the heart, usually found incidentally, that can become symptomatic depending on their size and location. We report the case of a 61-year-old man presenting with chest pain and elevated troponin and a normal EKG and D-dimers. A transthoracic echocardiogram revealed an intracardiac mass attached to the interventricular septum protruding to the left ventricle, later confirmed to be a lipomatous mass consistent with a cardiac lipoma on cardiac magnetic resonance imaging. Due to the mass characteristics and favourable evolution, it was decided not to excise the tumour, and the patient remains asymptomatic after a 4-year follow-up period.

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References

  • ElBardissi AW, Dearani JA, Daly RC, Mullany CJ, Orszulak TA, Puga FJ, et al. Survival after resection of primary cardiac tumors: a 48-year experience. Circulation 2008;118(14 Suppl):S7–S15.

  • Ismail I, Al-Khafaji K, Mutyala M, Aggarwal S, Cotter W, Hakim H, et al. Cardiac lipoma. J Community Hosp Intern Med Perspect 2015;5(5):28449.

  • Fang L, He L, Chen Y, Xie M, Wang J. Infiltrating lipoma of the right ventricle involving the interventricular septum and tricuspid valve: report of a rare case and literature review. Medicine (Baltimore) 2016;95(3):e2561.

  • Uemura S, Watanabe M, Iwama H, Saito Y. Extensive primary cardiac liposarcoma with multiple functional complications. Heart 2004;90(8):e48.

  • O'Donnell DH, Abbara S, Chaithiraphan V, Yared K, Killeen RP, Cury RC, et al. Cardiac tumours: optimal cardiac MR sequences and spectrum of imaging appearances. AJR Am J Roentgenol 2009;193(2):377–387.
  • Published: 2020-06-10

    Issue: Vol 7 No 9 (view)

    Section: Articles

    How to cite:
    1.
    Alves RM, Gamboa C. Cardiac Lipoma of the Interventricular Septum. EJCRIM [Internet]. 2020Jun.10 [cited 2020Oct.24];7(9). Available from: https://www.ejcrim.com/index.php/EJCRIM/article/view/1685