Open Access

Invasive cardiac lipoma at the left ventricular intermuscular region: A case report

  • Authors:
    • Juan Xia
    • Jian-Ping Liu
    • Wei Hong
    • Jing Ge
    • Yong-Heng Zhang
    • Lin Cao
    • Xian-Zheng Zhang
    • Xiao-Hong Chen
    • Qin Zhou
  • View Affiliations

  • Published online on: January 8, 2024     https://doi.org/10.3892/etm.2024.12373
  • Article Number: 85
  • Copyright : © Xia et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

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Abstract

The present study described the case of a 22‑year‑old woman who had symptoms of left chest pain for >6 months, with further aggravation over 2 days. Computed tomography (CT) images of the mediastinal and pulmonary windows showed low‑density shadows in the left ventricle. Echocardiography indicated a slightly stronger echo cluster in the left ventricle, with a range of ~29x30x35 mm, which was closely related to the lower wall and part of the posterior wall of the left ventricle. Contrast‑enhanced ultrasound showed that the left ventricular mass was enhanced in a circular and dot‑line shape, with a solid mass occupying the left ventricle and a rich blood supply. CT angiography revealed a nodule of size 27x27x24 mm in the left ventricle. During the operation, it was observed that the cardiac lipoma invaded the chordae tendinae and papillary muscle, and a valve replacement was performed. Postoperative examination revealed a piece of gray and anaplastic tissue, measuring 30x22x17 mm. The pathology of the specimen showed that the morphology of the left ventricular mass met the criteria of an intramuscular lipoma. The present study reported a cardiac lipoma involving the left anterior chordae tendinae and papillary muscle, with the patient showing only nonspecific symptoms. Early surgery should be applied to improve the prognosis of cardiac lipoma.
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February-2024
Volume 27 Issue 2

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
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Spandidos Publications style
Xia J, Liu J, Hong W, Ge J, Zhang Y, Cao L, Zhang X, Chen X and Zhou Q: Invasive cardiac lipoma at the left ventricular intermuscular region: A case report. Exp Ther Med 27: 85, 2024
APA
Xia, J., Liu, J., Hong, W., Ge, J., Zhang, Y., Cao, L. ... Zhou, Q. (2024). Invasive cardiac lipoma at the left ventricular intermuscular region: A case report. Experimental and Therapeutic Medicine, 27, 85. https://doi.org/10.3892/etm.2024.12373
MLA
Xia, J., Liu, J., Hong, W., Ge, J., Zhang, Y., Cao, L., Zhang, X., Chen, X., Zhou, Q."Invasive cardiac lipoma at the left ventricular intermuscular region: A case report". Experimental and Therapeutic Medicine 27.2 (2024): 85.
Chicago
Xia, J., Liu, J., Hong, W., Ge, J., Zhang, Y., Cao, L., Zhang, X., Chen, X., Zhou, Q."Invasive cardiac lipoma at the left ventricular intermuscular region: A case report". Experimental and Therapeutic Medicine 27, no. 2 (2024): 85. https://doi.org/10.3892/etm.2024.12373