Key result
Surgical excision of rare SVC lipoma yields uneventful recovery and successful discharge.
Why the study?
Cardiac lipoma is a rare non-myxomatous primary cardiac tumour with limited clinical descriptions, especially involving the superior vena cava.
Case Report (n=1)
Supports multimodality imaging for incidental RA masses in cancer surveillance; leaves open management decisions for asymptomatic lipomas.
Most benign primary cardiac tumours are myxomas; non-myxomatous tumours are less common but comprise a wide variety. Cardiac lipoma is a rare non-myxomatous variety. A 70-year-old Caucasian woman with right breast cancer status postpartial mastectomy underwent surveillance MRI of the breast and was found to have a possible right atrial (RA) mass. She also reported frequent headaches and palpitations. She underwent a transoesophageal echocardiogram which showed a 2.6×1.6×1.6 cm echogenic mass at the superior vena cava (SVC) and RA junction. She was anticoagulated for a possible thrombus without resolution. Surgical excision was undertaken in view of ongoing symptoms and partial occlusion of the SVC. Intraoperatively, a 2-3 cm smoothly textured lobulated mass was found and histopathology showed adipose tissue consistent with lipoma. The postoperative course was uneventful, and the patient was discharged in stable condition.
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Wahab et al. (2017) conducted a case report in Lipoma of superior vena cava (n=1). Surgical excision was evaluated on Postoperative course and discharge status. Surgical excision of a rare superior vena cava lipoma in a 70-year-old woman resulted in an uneventful postoperative course and discharge in stable condition.
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