Liu Tianshu, Fang Lingyun, Shi Jiawei, He Lin, Zhang Jing, Li Yuman, Xie Mingxing, Wang Jing
Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Clinical Research Center for Medical Imaging, 1277 Jiefang Avenue, Wuhan, NoHubei, 430022, China.
Cardiovasc Ultrasound. 2025 Mar 28;23(1):11. doi: 10.1186/s12947-025-00346-2.
The echocardiography is the first-line imaging modality in detecting the cardiac lipoma. Contrast-enhanced echocardiography improves its structural definition and characteristics of blood supply to exclude thrombus and malignant tumors.
We introduced a case that large cardiac mass involving nearly the whole left ventricular cavity and papillary muscles without any complications. Multimodal imaging has confirmed lipoma before surgery. However, rather than recommending conservative treatment in accordance with guidelines, surgical intervention was performed to prevent future hemodynamic abnormalities.
Combined with multimodal imaging, we showed a rare case on comprehensive evaluation of left ventricular silent lipoma and provided new clues for surgical strategy, which were different from guideline recommendations.
超声心动图是检测心脏脂肪瘤的一线成像方式。对比增强超声心动图可改善其结构清晰度和血供特征，以排除血栓和恶性肿瘤。
我们介绍了一例几乎累及整个左心室腔和乳头肌的巨大心脏肿块病例，且无任何并发症。多模态成像在手术前已确诊为脂肪瘤。然而，并非按照指南建议采取保守治疗，而是进行了手术干预以预防未来的血流动力学异常。
结合多模态成像，我们展示了一例对左心室无症状脂肪瘤进行综合评估的罕见病例，并为手术策略提供了新线索，这与指南建议不同。
