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Left ventricular lipoma.

Paulo Manuel Pêgo-Fernandes1, Carlos Alfredo Batagello, Fábio Fernandes

  • 1Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. paulopego@incor.usp.br

Arquivos Brasileiros De Cardiologia
|March 26, 2004
PubMed
Summary

A young woman experienced prolonged dizziness due to a rare left ventricular lipoma. Surgical resection of the cardiac tumor resolved her symptoms, highlighting the importance of cardiac imaging for unexplained dizziness.

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Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Diagnostic Imaging

Background:

  • Dizziness upon standing, improving with rest, can be a symptom of various conditions.
  • Persistent, worsening dizziness warrants thorough investigation, including cardiac evaluation.
  • Cardiac tumors are rare but can present with diverse and sometimes subtle symptoms.

Observation:

  • A 21-year-old female presented with years of positional dizziness.
  • Transthoracic echocardiogram revealed a hyperechoic mass on the left ventricular posterior wall.
  • Cardiac magnetic resonance imaging confirmed a left ventricular tumor, consistent with lipoma.

Findings:

  • The patient was diagnosed with a left ventricular lipoma causing her chronic dizziness.
  • Surgical resection of the cardiac tumor was successfully performed.

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  • Post-operative recovery was uneventful, with complete resolution of symptoms.

    • Implications:

    • This case underscores the utility of advanced cardiac imaging in diagnosing cardiac masses.
    • Left ventricular lipomas, though rare, should be considered in the differential diagnosis of unexplained dizziness.
    • Surgical intervention can be curative for symptomatic cardiac tumors.