Extensive cardiac lipoma with aneurysmal right ventricle.

Interact Cardiovasc Thorac Surg

Cardiovascular Imaging Section, Department of Cardiology, The Methodist DeBakey Heart and Vascular Center, 6550 Fannin Street, SM-677, Houston, TX 77080, USA.

Published: November 2010

AI Article Synopsis

  • A 56-year-old woman, with a history of heart surgeries, experienced shortness of breath and fluid build-up for two years.
  • Imaging revealed a large lipoma surrounding her heart and an aneurysm in the right ventricle.
  • She underwent surgery to repair her tricuspid valve, remove the aneurysm, and excise part of the lipoma, which was benign and composed of fatty tissue.

Article Abstract

A 56-year-old female with history of mitral valve replacement and automated implantable cardioverter-defibrillator placement presented with dyspnea on exertion for two years and recurrent ascites. Imaging studies, including transthoracic and transesophageal echocardiograms as well as 64-slice computed tomography (CT) angiogram revealed a large mass encasing the entire heart consistent with lipoma. In addition, a right ventricular free wall aneurysm was found. The patient subsequently underwent surgical repair of the tricuspid valve and resection of the right ventricular anterior wall aneurysm. The anterior portion of the cardiac lipoma was also resected. Gross specimen revealed an 11.5×6.5×5 cm mass of adipose tissue without malignancy. In this case, the patient presented with symptoms of congestive heart failure due to the aneurysm in the right ventricle.

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Source
http://dx.doi.org/10.1510/icvts.2010.244715DOI Listing

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