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Case Report 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 / Copyright

    Affiliations: Department of Hospital‑Acquired Infection Control, Suining Central Hospital, Suining, Sichuan 629000, P.R. China, Department of Cardiovascular Surgery, Suining Central Hospital, Suining, Sichuan 629000, P.R. China, Intensive Care Unit, Suining Central Hospital, Suining, Sichuan 629000, P.R. China, Department of Anesthesiology, Suining Central Hospital, Suining, Sichuan 629000, P.R. China, Department of Operating Room, Suining Central Hospital, Suining, Sichuan 629000, P.R. China
    Copyright: © Xia et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 85
    |
    Published online on: January 8, 2024
       https://doi.org/10.3892/etm.2024.12373
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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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Copy and paste a formatted citation
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
Copy and paste a formatted citation
x
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
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