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 Table of Contents  
IMAGES IN CARDIOTHORACIC SURGERY
Year : 2019  |  Volume : 4  |  Issue : 1  |  Page : 16-17

Unusual and challenging case of right atrial lipoma


Department Cardiothoracic Surgery, Blessing Hospital, Quincy, Illinois, USA

Date of Web Publication1-Oct-2019

Correspondence Address:
Dr. John Arnold
Blessing Hospital, Quincy, Illinois
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njct.njct_7_19

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How to cite this article:
Arnold J. Unusual and challenging case of right atrial lipoma. Niger J Cardiovasc Thorac Surg 2019;4:16-7

How to cite this URL:
Arnold J. Unusual and challenging case of right atrial lipoma. Niger J Cardiovasc Thorac Surg [serial online] 2019 [cited 2020 Jul 12];4:16-7. Available from: http://www.nigjourcvtsurg.org/text.asp?2019/4/1/16/268467



A 68-year-old female with a complaint of chest pain and negative stress test Lexiscan was found to have a right atrial mass on transthoracic echocardiogram [Figure 1]. Cardiac magnetic resonance imaging showed a lobulated mass consistent with a lipoma in the right atrium encircling the superior vena cava (SVC) entrance with extension to the lateral wall and septum [Figure 2]. Intraoperatively, the mass was found to be subendocardial and not completely discrete from surrounding tissues. The mass was resected as completely as possible, and the right atrium was reconstructed with a bovine pericardial patch. Following separation from cardiopulmonary bypass, the patient developed engorgement of the head and upper body consistent with SVC obstruction and required revision with a patch cavoplasty. Due to persistent signs of residual SVC obstruction postoperatively, the patient then underwent percutaneous stenting of the SVC with subsequent complete resolution of upper body edema [Figure 3]a and [Figure 3]b. The pathology showed mature adipose tissue admixed with cardiac muscle consistent with lipomatous hypertrophy. The patient's hospital course was otherwise uneventful.
Figure 1: Transthoracic echo right atrial lipoma.

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Figure 2: Chest magnetic resonance imaging of right atrial lipoma.

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Figure 3: (a and b) Superior vena cava stenting.

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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