Department of Cardiovascular Surgery, Takaishi Fujii Cardiovascular Hospital, Takaishi-shi, Osaka, Japan.
Department of Cardiology, Takaishi Fujii Cardiovascular Hospital, Takaishi-shi, Osaka, Japan.
Asian Cardiovasc Thorac Ann. 2023 Nov;31(9):809-811. doi: 10.1177/02184923231206199. Epub 2023 Oct 9.
Cardiac lipomas are extremely rare benign neoplasms of the heart. Most of them do not cause clinical symptoms, so far they are found incidentally in the majority of cases. Here, we describe a case of left intraventricular lipoma in an asymptomatic 34-year-old man which found by transthoracic echocardiography at comprehensive medical examination. Echocardiography and magnetic resonance imaging demonstrated a 3 × 3-cm mass in apical wall of the left ventricle, which was diagnosed as lipoma or liposarcoma. Although he was asymptomatic, tumor resection was indicated to confirm a diagnosis of the tumor and to prevent of future fatal complications. Surgery was performed with endoscopic assistance, and the tumor was resected. Histological examination of the tumor specimens consistent of lipoma. The patient is currently asymptomatic, and no recurrence was seen after 4 years.
心脏脂肪瘤是心脏极罕见的良性肿瘤。它们大多数不会引起临床症状，迄今为止大多数都是在偶然情况下发现的。在这里，我们描述了一个 34 岁无症状男性左心室腔内脂肪瘤的病例，该病例是在全面体检时经胸超声心动图发现的。超声心动图和磁共振成像显示左心室心尖壁有一个 3×3 厘米的肿块，诊断为脂肪瘤或脂肪肉瘤。尽管他没有症状，但仍需要进行肿瘤切除术以明确诊断并预防未来致命的并发症。手术在内镜辅助下进行，肿瘤被切除。肿瘤标本的组织学检查结果符合脂肪瘤。患者目前无症状，4 年后未见复发。
