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Spindle cell lipoma of the aortic valve: a rare cardiac finding

Kaushalendra Singh Rathore1, Robert Stuklis, Jonathen Allin

  • 1Department of Cardiothoracic Surgery, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia. kaushalendra.rathore@gmail.com

Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology
|November 18, 2008
PubMed

Insights

A rare aortic valve tumor, diagnosed as spindle cell lipoma, was surgically removed in a 64-year-old female. Minimally invasive surgery and valve replacement were performed, highlighting the need for excision due to potential complications.

Area of Science:

  • Cardiovascular Surgery
  • Surgical Pathology

Background:

  • A 64-year-old female presented with a 2-year history of worsening angina.
  • Patient had a history of hypertension, coronary artery disease, atrial fibrillation, hyperlipidemia, and hyperthyroidism.
  • The patient was nondiabetic, nonsmoker, and had marfanoid features.

Purpose of the Study:

  • To report a rare case of spindle cell lipoma of the aortic valve.
  • To discuss the management and implications of aortic valve tumors.

Main Methods:

  • Diagnostic investigations including imaging.
  • Surgical excision of the aortic valve tumor.
  • Aortic valve replacement using a minimally invasive partial sternotomy approach.

Main Results:

  • Aortic valve tumor was identified.
  • Histological examination confirmed spindle cell lipoma.
  • Successful tumor excision and aortic valve replacement were performed.

Conclusions:

  • Spindle cell lipomas, though benign, can lead to severe complications.
  • Surgical excision is warranted for aortic valve lipomas.
  • Minimally invasive techniques can be effectively used for aortic valve tumor resection and replacement.
Abstract

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