Key result
Emergency surgical resection of a right atrial cardiac hibernoma and reconstruction with a Bovine pericardial patch successfully resolved SVC obstruction and tamponade.
Why the study?
Cardiac hibernomas are very rare benign lipomatous tumours that are usually asymptomatic, with variable symptoms depending on the cardiac location involved.
Case Report (n=1)
Emergency surgical resection and reconstruction with a bovine pericardial patch is an effective treatment for symptomatic cardiac hibernoma causing SVC obstruction and tamponade.
Supports resection with pericardial patch for rare hibernoma causing SVC obstruction; single case leaves open standardized approaches.
We report a case of cardiac hibernoma, which is a very rare type of benign lipomatous tumour. They are usually asymptomatic and therefore remain undetected or are found incidentally. When symptomatic, they vary and depend on location of heart involved. The patient had a hibernoma on right atrial wall invading the intra-atrial groove and extending over superior vena cava (SVC), causing significant symptoms of SVC obstruction and tamponade. The patient therefore underwent emergency operation, in which the tumour was resected and the right atrium was reconstructed with Bovine pericardial patch. He was discharged home well.
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Lee et al. (2020) conducted a case report in Cardiac hibernoma (n=1). Surgical excision and right atrium reconstruction with Bovine pericardial patch was evaluated on Clinical outcome. Emergency surgical resection of a right atrial cardiac hibernoma and reconstruction with a Bovine pericardial patch successfully resolved SVC obstruction and tamponade.
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