A giant benign epicardial lipomatosis of the left ventricle

Fatty masses of the heart are relatively uncommon. Herein, we report an extremely rare case of a giant benign epicardial lipomatosis arising from the left ventricle. A 26-year-old female presented with atypical chest pain and easy fatigability for the past six months. Chest X-ray showed an increased cardiothoracic ratio. Echocardiography revealed a large homogenous mass in the pericardial space near the lateral surface of the left ventricle. Computed tomography and magnetic resonance imaging of the chest showed a large fat-density mass with well-defined margins, arising from the left ventricle. The patient underwent surgical removal of the mass without cardiopulmonary bypass. She recovered well and discharged in the seventh postoperative day.