Unconventional location for a cardiac lipoma: The anterior papillary muscle

Primary cardiac tumors are uncommon, and lipoma is the second most frequent benign type after myxoma. The treatment of choice is surgery, with the complete excision of the mass. Nevertheless, in the absence of symptoms and clinical signs the indication for surgery is less defined, and close follow up may be recommended. In the case we are going to report the patient was followed by periodical clinical and echographic examination, always reconsidering the possibility of treatment. <Learning objective: Cardiac lipoma is a tumor with different possible locations in the cardiac tissue and with different possible clinical patterns; in the presence of a cardiac lipoma the treatment of choice is surgery. The presence of a cardiac mass suggests investigating it with a high-resolution image examination, and to strictly follow the patient over time.>.