Key result
An incidentally discovered 56x45x30 mm cardiac lipoma in a 13-year-old male with long QT syndrome was safely managed with propranolol and regular follow-up without surgical resection.
Why the study?
Cardiac lipomas are rare primary benign heart tumors that are usually detected incidentally, and clinical presentations and conservative management approaches warrant description.
Case Report (n=1)
Incidental cardiac lipomas in pediatric patients can be safely managed conservatively with symptomatic treatment and regular imaging follow-up when surgical resection is not indicated.
Supports conservative echo surveillance for pediatric cardiac lipomas; leaves open need for prospective natural-history data.
Cardiac lipomas are primary benign tumors of the heart, consisting mainly of fat cells and the capsule surrounding them. They are rare, usually detected incidentally, and are mostly asymptomatic or may cause symptoms depending on their location. In this case, we planned to present a 13-year-old male patient who was diagnosed with cardiac lipoma, had echocardiography follow-up at regular intervals, and was treated symptomatically. Although cardiac magnetic resonance imaging and histopathological diagnosis are required to confirm the diagnosis of cardiac lipoma, resection may not be necessary due to the location of the mass and the fact that it does not cause any life-threatening symptoms, as in our patient.
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Memiş et al. (2024) conducted a case report in Cardiac lipoma (n=1). Conservative management (Propranolol and follow-up) was evaluated. An incidentally discovered 56x45x30 mm cardiac lipoma in a 13-year-old male with long QT syndrome was safely managed with propranolol and regular follow-up without surgical resection.
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