Right atrial lipoma: A case report and literature review.
XenoSure patch
cardiac magnetic resonance
cardiac tumor
right atrial lipoma
right mini-thoracotomy
Journal
Experimental and therapeutic medicine
ISSN: 1792-1015
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
15
05
2022
accepted:
28
07
2022
entrez:
24
10
2022
pubmed:
25
10
2022
medline:
25
10
2022
Statut:
epublish
Résumé
Cardiac lipomas are generally asymptomatic even in large dimensions. Echocardiograms can identify tumors, but cardiac magnetic resonance imaging or cardiac computerized tomography can differentiate cardiac lipomas from other cardiac tumors. The present study is a case report of an asymptomatic 30-year-old man diagnosed with atrial lipoma. The patient received cardiac surgery and the intervention consisted of exclusion of the right atrial (RA) tumor and reconstruction of the right atrium with 'XenoSure' patch in extracorporeal circulation through a minimally invasive approach. A short PubMed literature review was performed and 26 cases of RA lipomas with available details were found. Cardiac tumors may cause clinical presentation through different pathways. Symptoms related to an RA lipoma were present in 21 out of 26 patients (80%). The symptoms varied greatly, dyspnea being the most common of them. In one case, the lipoma was found during the autopsy of a patient after sudden death. Large cardiac lipomas can lead to complications such as obstruction of ventricular outflow tract, electric disorders, embolism or pericardial effusion. Obstruction of the right ventricular outflow tract was reported in 11 out of 26 patients (42%) diagnosed with RA lipoma. Generally, atrial lipoma can have various sizes. The most useful imaging technique was transthoracic echocardiography. Accurate diagnosis and evaluation of cardiac lipoma is dependent on multimodality imaging methods, including cardiac magnetic resonance. Surgery is the treatment of choice, but the risk-benefit ratio must be considered, and shared decision making must be taken into account. The present review data showed that 23 out of 25 patients (92%) underwent surgery. Among these patients, only 1 out of 23 received a minimally invasive approach in 2021. Cardiac lipomas are rare entities, usually asymptomatic, that can occur at any age. The most useful diagnostic method of cardiac tumors is echocardiography, but nuclear magnetic resonance can also specify the type and characteristics of tumors.
Identifiants
pubmed: 36277161
doi: 10.3892/etm.2022.11633
pii: ETM-24-5-11633
pmc: PMC9535399
doi:
Types de publication
Case Reports
Langues
eng
Pagination
697Informations de copyright
Copyright: © Bajdechi et al.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
Références
J Cardiothorac Surg. 2019 Dec 2;14(1):210
pubmed: 31791367
Ital Heart J. 2001 Aug;2(8):621-3
pubmed: 11577837
CJC Open. 2020 Oct 12;3(2):207-209
pubmed: 33644736
BMC Cardiovasc Disord. 2019 Nov 6;19(1):247
pubmed: 31694561
J Cardiothorac Surg. 2015 Nov 05;10:150
pubmed: 26541518
Echocardiography. 2007 Mar;24(3):286-300
pubmed: 17313646
Interact Cardiovasc Thorac Surg. 2010 Dec;11(6):803-4
pubmed: 20852328
Kardiol Pol. 2021;79(7-8):893-894
pubmed: 34060635
Int J Surg Case Rep. 2015;9:105-8
pubmed: 25746952
Tex Heart Inst J. 2016 Oct 1;43(5):461-464
pubmed: 27777537
Int J Cardiol. 2008 Mar 28;125(1):e19-20
pubmed: 17395313
Ann Thorac Surg. 1995 May;59(5):1239-41
pubmed: 7733737
Rev Bras Cir Cardiovasc. 2009 Apr-Jun;24(2):239-41
pubmed: 19768305
Cardiovasc Pathol. 2007 May-Jun;16(3):187-8
pubmed: 17502250
World J Surg Oncol. 2015 Feb 06;13:20
pubmed: 25885214
J Cardiothorac Surg. 2021 Jan 6;16(1):1
pubmed: 33407682
Eur Heart J Cardiovasc Imaging. 2012 Nov;13(11):963
pubmed: 22645205
J Formos Med Assoc. 2019 Jan;118(1 Pt 1):7-38
pubmed: 30527436
J Clin Ultrasound. 2009 Mar-Apr;37(3):185-8
pubmed: 18506745
Medicine (Baltimore). 2019 Feb;98(8):e14456
pubmed: 30813147
Clin Res Cardiol. 2017 Oct;106(10):840-845
pubmed: 28631034
Case Rep Cardiol. 2018 Feb 6;2018:3531982
pubmed: 29552360
Clin Case Rep. 2019 Jul 25;7(9):1798-1799
pubmed: 31534755
Ann R Coll Surg Engl. 2014 Oct;96(7):e39-41
pubmed: 25245725
Asian Cardiovasc Thorac Ann. 2015 Mar;23(3):317-9
pubmed: 24887890
BMJ Case Rep. 2017 Jul 24;2017:
pubmed: 28739621
J Eval Clin Pract. 2019 Dec;25(6):1152-1159
pubmed: 31407420
Med Ultrason. 2017 Jan 31;19(1):117-120
pubmed: 28180206
J Thorac Cardiovasc Surg. 2011 Feb;141(2):592-4
pubmed: 20674939
Eur J Cardiothorac Surg. 2009 Apr;35(4):727
pubmed: 19211255
J Geriatr Cardiol. 2019 May;16(5):431-433
pubmed: 31217798
Radiology. 1963 Dec;81:949-52
pubmed: 14101717
Tex Heart Inst J. 1998;25(2):152-4
pubmed: 9654663
ISRN Cardiol. 2011;2011:243637
pubmed: 22347636
Circ Cardiovasc Imaging. 2011 Jan;4(1):77-8
pubmed: 21245365
Arq Bras Cardiol. 2003 Jan;80(1):97-9, 94-6
pubmed: 12612728
Quant Imaging Med Surg. 2015 Oct;5(5):774-7
pubmed: 26682146
J Card Surg. 2021 Sep;36(9):3390-3392
pubmed: 34157154