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Epicardial lipoma.

P T Harjola, K Ala-Kulju, P Ketonen

    Scandinavian Journal of Thoracic and Cardiovascular Surgery
    |January 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    A rare epicardial lipoma mimicked heart failure symptoms due to coronary artery disease. Surgical removal of the tumor alongside coronary bypass surgery yielded excellent outcomes.

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    Area of Science:

    • Cardiovascular Surgery
    • Surgical Oncology

    Background:

    • Epicardial lipomas are rare, benign tumors originating from adipose tissue on the heart's surface.
    • These tumors can cause cardiac dysfunction through mass effect and compression.

    Observation:

    • A patient presented with symptoms suggestive of myocardial failure.
    • Coronary artery disease coexisted, complicating the diagnosis by masking the epicardial lipoma's compressive effects.

    Findings:

    • Surgical excision of the epicardial lipoma was successfully performed.
    • The patient underwent a combined procedure, including coronary artery bypass grafting.

    Implications:

    • Simultaneous surgical management of epicardial lipoma and coronary artery disease is feasible and effective.
    • This approach can alleviate cardiac compression and improve myocardial function, offering a favorable prognosis.