Key result
Subtotal resection of giant right atrial lipoma relieves symptoms and avoids transplant without 6-month recurrence.
Why the study?
Large lipomas in the right atrium are very uncommon, cause significant clinical complications, and present treatment challenges regarding alternatives to heart transplantation.
Case Report (n=1)
No
Subtotal surgical resection of giant right atrial lipomas is a viable and effective alternative to heart transplantation in patients with preserved ventricular function.
Viable alternative to transplantation for giant right atrial lipomas with preserved function; extends options but remains hypothesis-generating pending larger series.
Primary cardiac tumors are rare, with lipomas accounting for approximately 8–10% of benign neoplasms. They can arise in any chamber or layer of the heart; however, large lipomas, especially in the right atrium, are very uncommon and cause significant clinical complications. This case report describes a 37-year-old male with a giant right atrial lipoma measuring 17 × 10 × 14 cm (weighing 910 g), which caused symptoms of heart failure. After thorough evaluation and considering preserved ventricular function, a subtotal surgical resection of the tumor with atrial wall reconstruction was performed. The postoperative period was uneventful, the patient recovered well, and no recurrence was detected at 6-month follow-up. This case highlights the effectiveness of subtotal resection of large benign tumors as an alternative to heart transplantation.
No takes yet. Share an insight, caveat, or question.
Тодуров et al. (2026) conducted a case report in 37-year-old male with giant right atrial lipoma causing symptoms of heart failure and preserved ventricular function (n=1). Subtotal surgical resection of giant right atrial lipoma with right atrial wall reconstruction was evaluated on No recurrence of cardiac lipoma and symptom relief at 6-month follow-up. Subtotal surgical resection of a giant right atrial lipoma successfully relieved symptoms and avoided heart transplantation with no tumor recurrence at 6 months.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: