Key result
Video-assisted thoracoscopic surgery successfully resects right atrial lipoma in a 61-year-old male.
Why the study?
Cardiac tumors are rare and require imaging for diagnosis, with treatment plans based on tumor nature, but detailed reports on surgical management of cardiac lipomas are limited.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Cardiac MRI or CT can effectively differentiate cardiac lipomas from other tumors, and surgical excision generally yields a good prognosis.
RATIONALE: Cardiac tumors are relatively rare, with an incidence rate of 0.17% to 0.19% according to autopsy reports. The tumors may be detected through transthoracic echocardiography, computed tomography (CT), magnetic resonance imaging (MRI), and other examinations. The treatment plan is determined based on the nature of the tumor. PATIENT CONCERNS: In this article, we report a case of a 61-year-old male who was found to have an occupying lesion in the right atrium and superior vena cava during a cardiac ultrasound examination. DIAGNOSES: Enhanced CT and MRI suggested the possibility of a lipoma during admission. INTERVENTIONS: The patient underwent video-assisted thoracoscopic cardiac tumor resection under extracorporeal circulation. The postoperative pathology was consistent with lipoma. OUTCOMES: The recurrence rate after cardiac lipoma excision is low, and the prognosis is generally good. However, for patients with cardiac lipomas involving ventricles and myocardial infiltration, intraoperative excision is more challenging, and the long-term outcome is poor. LESSONS: Cardiac lipomas are generally asymptomatic even in large dimensions. Echocardiograms can identify tumors, but cardiac MRI or cardiac CT can differentiate cardiac lipomas from other cardiac tumors.
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Yan et al. (2025) conducted a case report in Lipoma of the right atrium (n=1). Video-assisted thoracoscopic cardiac tumor resection under extracorporeal circulation was evaluated on Postoperative pathology and prognosis. Video-assisted thoracoscopic cardiac tumor resection successfully removed a right atrial lipoma in a 61-year-old male, with postoperative pathology confirming the diagnosis.
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