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

Husain, Majid; McCanta, Anthony C.; Batra, Anjan S.

doi:10.1016/j.hrcr.2019.02.005

Cited by 5 publications

(7 citation statements)

References 10 publications

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“…7 However, a few reported paediatric cases have been published. 34,67,68 These tumours are encapsulated masses of adipose tissue, accidentally diagnosed at autopsies or, rarely, with symptoms triggered by arrhythmias, namely ventricular tachycardias. 67,68 They can develop anywhere in the heart but are usually seen in the atrial septum and epicardium growing into the pericardial space.…”

Section: Lipomasmentioning

confidence: 99%

“…34,67,68 These tumours are encapsulated masses of adipose tissue, accidentally diagnosed at autopsies or, rarely, with symptoms triggered by arrhythmias, namely ventricular tachycardias. 67,68 They can develop anywhere in the heart but are usually seen in the atrial septum and epicardium growing into the pericardial space. Their appearance on echocardiography is varied, so the most adequate exam is cardiac magnetic resonance, where they typically are hyperintense on both T1-and T2-weighted images which fully supress with fat saturation.…”

Section: Lipomasmentioning

confidence: 99%

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Cardiac tumours in children: a single-centre experience and literature review

2022

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Cardiac tumours are extremely rare in children. Although more than 90% are benign, children can develop obstructive or embolisation derived symptoms, arrhythmias, constitutional symptoms, cardiac tamponade, or even sudden death. Although the majority are asymptomatic, and some spontaneously regress, appropriate follow-up is needed on a case-by-case basis, as patients may develop late symptoms. Definitive diagnosis is only possible through histological analysis; however, it is possible to infer tumour type with a high grade of certainty based on imaging features, particularly cardiac magnetic resonance. Surgical resection is advocated for those causing symptoms, obstruction, cardiac dysfunction, and high risk of embolisation. The aim of this review is to present the state of the art related to cardiac tumours in the paediatric population, in the context of our own experience.

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Section: Lipomasmentioning

confidence: 99%

Section: Lipomasmentioning

confidence: 99%

Cardiac tumours in children: a single-centre experience and literature review

2022

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“…Otras alteraciones menos frecuentes fueron taquicardia supraventricular, cambios inespecíficos en ondas T, bajo voltaje y desviación del eje a la izquierda. Solo un paciente debutó como taquicardia ventricular monomórfica (27).…”

Section: Aspectos Demográficos Y Clínicosunclassified

Hallazgos por imagen de lipoma pericárdico. Revisión de la literatura

Calle

González

Borda

et al. 2022

Rev. colomb. radiol.

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Introducción: El lipoma pericárdico es un tumor benigno infrecuente cuya presentación clínica es variada. Se revisaron los hallazgos por imagen descritos en la literatura en las modalidades de radiografía, ecocardiografía, tomografía axial computarizada (TAC) y resonancia magnética (RM). Metodología: Se identificaron reportes de caso, presentaciones en congreso y estudios observacionales de lipomas pericárdicos en PubMed, Scopus, Web of Science, Embase y Cochrane hasta el 01 de junio de 2022. Resultados: El lipoma pericárdico se ha descrito proporcionalmente en hombres y mujeres, en promedio a los 51 años de edad. Por lo general, los pacientes no presentan comorbilidades y de presentarlas, corresponden a factores de riesgo cardiovascular. Los síntomas más comunes son el dolor torácico y las palpitaciones. Hasta el 15 % de los casos son hallazgos incidentales en pacientes asintomáticos. Los métodos de imagen más frecuentemente descritos son la ecografía y la TAC, seguidos de la radiografía y la RM. Las descripciones incluyen masas ecogénicas, cardiomegalia, masas con densidad grasa menor a las 0 UH y por RM hiperintensas en T1 y T2 con saturación grasa y sin realce del medio de contraste. Un hallazgo frecuente es el derrame pericárdico. Conclusión: El rendimiento de las imágenes para el diagnóstico de lipomas pericárdicos no se ha calculado. Sin embargo, los hallazgos multimodales son altamente confiables para el diagnóstico no invasivo.

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“…[ 6 , 7 ] Arrhythmia due to compression has also been reported. [ 8 , 9 ] When a cardiac lipoma becomes symptomatic, surgery to relieve symptoms and prevent disease progression is the preferred treatment method. However, no consensus regarding treatment strategies for asymptomatic patients has been reached.…”

Section: Introductionmentioning

confidence: 99%

“…Depending on the location and size of the lipoma, symptoms of compression or obstruction, such as valvular dysfunction, congestive heart failure, and dyspnea, may occur [6,7] . Arrhythmia due to compression has also been reported [8,9] . When a cardiac lipoma becomes symptomatic, surgery to relieve symptoms and prevent disease progression is the preferred treatment method.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of cardiac lipoma: 20 years’ experience in a single center

Meng

Zhou

et al. 2023

Chinese Medical Journal

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Background: Primary cardiac lipoma is very rare, and no consensus has been developed regarding its ideal treatment strategy. This study reviewed the surgical treatment of cardiac lipomas in 20 patients over 20 years. Methods: Twenty patients with cardiac lipomas were treated at Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College from January 1, 2002, to January 1, 2022. The patients’ clinical data and pathological reports were retrospectively analyzed, and the follow-up with a range of 1 year to 20 years was conducted. Results: The cardiac lipomas were located in the right atrium (RA) or superior vena cava (SVC) in seven patients (35%) (RA in six patients and SVC in one patient), left ventricle in eight patients (40%) (left ventricular chamber in four patients and left ventricular subepicardium and myocardium in four patients), right ventricle in three patients (15%) (right ventricular chamber in one patient and right ventricular subepicardial layer and myocardium in two patients), subepicardial interventricular groove in one patient (5%), and pericardium in one patient (5%). Complete resection was achieved in 14 patients (70%), including seven patients with lipomas in the RA or SVC. Incomplete resection occurred in six patients (30%) with lipomas in the ventricles. No perioperative deaths occurred. Long-term follow-up was conducted for 19 patients (95%), including two (10%) who died. Both patients who died had lipomas incompletely resected due to ventricles involvement, and preoperative malignant arrhythmias persisted post-operatively. Conclusions: The complete resection rate was high, and the long-term prognosis was satisfactory in patients with cardiac lipomas that did not involve the ventricle. The complete resection rate was low in patients with cardiac lipomas in ventricles; and complications, including malignant arrhythmia, were common. Failure of complete resection and post-operative ventricular arrhythmia are correlated with post-operative mortality.

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

Cited by 5 publications

References 10 publications

Cardiac tumours in children: a single-centre experience and literature review

Cardiac tumours in children: a single-centre experience and literature review

Hallazgos por imagen de lipoma pericárdico. Revisión de la literatura

Surgical treatment of cardiac lipoma: 20 years’ experience in a single center

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