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Right ventricle lipoma with pseudoaneurysmatic appearance
O Artemiou1, W Klepetko, H Baumgartner
1Department of Cardiothoracic Surgery and Cardiology, University of Vienna, Austria. omeros.artemiou@univie.ac.at
The Annals of Thoracic Surgery
|October 4, 2000
Summary
A large right ventricle lipoma was surgically removed, necessitating reconstruction of the heart wall and septum using a bovine pericardium patch. This case highlights surgical repair of complex cardiac tumors.
Area of Science:
- Cardiovascular Surgery
- Cardiac Oncology
- Surgical Pathology
Background:
- Lipomas are benign tumors of adipose tissue.
- Cardiac lipomas are rare, especially large ones presenting pseudoaneurysmatic features.
- Right ventricle lipomas can cause significant hemodynamic compromise.
Observation:
- A 78-year-old female presented with a large (13 x 17 x 10 cm) right ventricle lipoma.
- The lipoma exhibited pseudoaneurysmatic characteristics.
- Radical resection resulted in substantial defects of the right ventricle wall and interventricular septum.
Findings:
- Successful radical resection of the large right ventricle lipoma was achieved.
- Reconstruction of the cardiac defects was performed using a bovine pericardium patch.
- The surgical intervention addressed a rare and complex cardiac mass.
Implications:
- Bovine pericardium is a viable option for reconstructing large cardiac defects.
- This case demonstrates the feasibility of surgical management for extensive cardiac lipomas.
- Effective treatment strategies for rare cardiac tumors can improve patient outcomes.