Infiltrating cardiac lipoma presenting as ventricular tachycardia in a young adult

Shenthar, Jayaprakash; Sharma, Rajani; Maneesh, K.; Simha, Prasanna

doi:10.1016/j.ihj.2015.05.014

Cited by 8 publications

(8 citation statements)

References 2 publications

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“…The 1 reported case of an epicardial lipoma was not associated with an arrhythmia 7 . Data regarding the association of a pericardial lipoma with clinically significant arrhythmias have been largely limited to a few case reports 8, 9, 10, 11. We found only 1 pediatric case report of a previously healthy 13-year-old male patient with VT who was found to have a lipoma embedded in the myocardium, adjacent to but not involving the circumflex coronary artery 11 …”

Section: Discussionmentioning

confidence: 88%

Rare finding of a pericardial lipoma in a pediatric patient presenting with ventricular tachycardia

Husain

McCanta

Batra

2019

HeartRhythm Case Reports

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Section: Discussionmentioning

confidence: 88%

Rare finding of a pericardial lipoma in a pediatric patient presenting with ventricular tachycardia

Husain

McCanta

Batra

2019

HeartRhythm Case Reports

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“…In a literature review, we found seven cases of infiltrating cardiac lipoma. Three of these cases describe lipomas originating on the epicardial aspect infiltrating into the underlying ventricular myocardium one of which reported multiple infiltrating lipomas [11–13]. The remaining four cases report intercavitary tumours.…”

Section: Discussionmentioning

confidence: 99%

Right atrial and SVC infiltrating mass-the entity of infiltrating lipoma

Shah

Badran

Kaarne

et al. 2019

J Cardiothorac Surg

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BackgroundCardiac lipomas are rare benign primary cardiac tumours primarily composed of mature adipocytes. They are usually well defined, encapsulated masses, but rarely demonstrate malignant characteristics by infiltrating the myocardium. This causes diagnostic uncertainty as it becomes a priority to rule out primary malignant cardiac tumours such as sarcoma which often carry a poor prognosis.Case ReportA 61 year old female presenting with chest pain was found to have an infiltrating right atrial hypertrophic mass. Mutli-disciplinary team (MDT) discussions along with the presence of symptoms and likelihood of malignancy led to the recommendations for surgery.Intraoperatively this involved the right pulmonary veins and superior vena cava (SVC). The mass was resected with good margins and reconstruction of the right atrium, pulmonary veins and SVC was done using porcine pericardial patch. The patient made a good postoperative recovery and was discharged home in sinus rhythm with no significant valvular lesions. This was further confirmed at 6 month follow up. Final histology was that of infiltrating lipoma.ConclusionsIn this rare case of infiltrating cardiac lipoma in a relatively young patient, the diagnostic uncertainty despite multimodal imaging meant surgery was indicated due to the high suspicion of cancer. Even in benign cases, fatty infiltration can lead to conduction defects and embolisation. Technical difficulties in sectioning these specimens is caused by intra-tumour variability and current recommendations are for excision biopsy, for best characterisation.The management of these patients requires an MDT with Cardiac surgery being a safe approach providing definitive management.

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“…Lipomas are usually encapsulated, homogeneous fatty tumors, but can occasionally be infiltrating . Cardiac lipomas can originate from the subendocardium (approximately 50%), subpericardium (25%), or myocardium (25%) and are located more frequently in the left ventricle or right atrium …”

Section: Specific Cardiac Tumors Causing Arrhythmiasmentioning

confidence: 99%

“…Arrhythmias are infrequent, but location within the myocardium can cause ventricular arrhythmia or conduction disturbance. Ventricular tachycardia (Figures ) and sudden death are rare manifestations of cardiac lipoma …”

Section: Specific Cardiac Tumors Causing Arrhythmiasmentioning

confidence: 99%

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Clinical presentations, diagnosis, and management of arrhythmias associated with cardiac tumors

Shenthar

2018

Journal of Arrhythmia

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Cardiac tumors are a rare cause of arrhythmias in clinical practice. They can cause a broad spectrum of arrhythmias, from low‐grade ectopics to incessant ventricular tachycardias, including sudden cardiac arrest. Both primary and secondary cardiac tumors can produce arrhythmias, but not all tumors cause arrhythmias. Although cardiac tumors can cause arrhythmias in fetuses and older adults alike, only specific cardiac tumors are the underlying cause of arrhythmia in different age groups. This article reviews various cardiac tumors that are associated with arrhythmias, their clinical presentations, diagnostic features, and management.

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Infiltrating cardiac lipoma presenting as ventricular tachycardia in a young adult

Cited by 8 publications

References 2 publications

Rare finding of a pericardial lipoma in a pediatric patient presenting with ventricular tachycardia

Rare finding of a pericardial lipoma in a pediatric patient presenting with ventricular tachycardia

Right atrial and SVC infiltrating mass-the entity of infiltrating lipoma

Clinical presentations, diagnosis, and management of arrhythmias associated with cardiac tumors

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