Open AccessLeft ventricular lipoma resected using thoracoscope-assisted limited sternotomy
Author(s) -
Xiangfei Sun,
Guangyi Liu,
Hwahwi Kim,
Wenyu Sun
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000011436
Subject(s) - medicine , lipoma , asymptomatic , thoracoscopy , radiology , surgery , incidence (geometry) , median sternotomy , physics , optics
Rationale: A cardiac lipoma is an uncommon primary tumor, with a reported incidence ranging from 2.9% to 8% among all benign cardiac tumors. Although the prognosis in most asymptomatic cases is good during longterm follow-up, some reports have shown that untreated cardiac lipomas may be fatal when they cause arrhythmic or obstructive symptoms. Patient concerns: We present a rare case of left ventricular (LV) lipoma. The mass measured 25 mm 10 mm, with a pedicle on the LV posterior wall near the apex. Diagnoses: The patient was diagnosed as left ventricular lipoma using echocardiography. Interventions: The LV lipoma was resected using thoracoscopy-assisted limited sternotomy. Outcomes: Histopathologic examination was consistent with lipoma. No signs of recurrence were detected on an echocardiogram during a 3-month follow-up period. Lessons: We performed a comprehensive review of relevant literature and summarized the known 21 cases from 1980 to 2017. LV lipoma may present with or without symptoms, and endoscopic resection may be a good alternative to open surgery.