Iranian Heart Journal

Iranian Heart Journal

Surgical Management of a Symptomatic Cardiac Lipoma: A Case Report

Document Type : Case Report

Authors
Cardiovascular Research Center, Rajaie Cardiovascular Institute, Tehran, Iran.
Abstract
Introduction: Lipomas are benign tumors that originate from mature adipose tissue. Their occurrence in the heart is rare. Although these tumors are noncancerous and slow growing, depending on their size and location they can cause significant clinical problems. Patients may present with symptoms such as dyspnea, arrhythmias, conduction disorders, or hemodynamic compromise because of blood flow obstruction.

Case Presentation: We describe a 54-year-old woman with a history of hypertension who presented with shortness of breath. Her symptoms had gradually progressed over several months and had significantly affected her daily activities. She was initially diagnosed with a cardiac mass by echocardiography and subsequently underwent cardiac magnetic resonance imaging, which revealed a cardiac lipoma. Because of the complexity of the case, she underwent surgery to remove the tumor. (Iranian Heart Journal 2026; 27(3): 76-80)
Keywords

1.       Rahouma M, Arisha MJ, Elmously A, Ahmed MME-S, Spadaccio C, Mehta K, et al. Cardiac tumors prevalence and mortality: a systematic review and meta-analysis. International journal of surgery. 2020; 76:178-89.
2.       Poterucha TJ, Kochav J, O’Connor DS, Rosner GF. Cardiac tumors: clinical presentation, diagnosis, and management. Current treatment options in oncology. 2019; 20(8):66.
3.       Ismail I, Al-Khafaji K, Mutyala M, Aggarwal S, Cotter W, Hakim H, et al. Cardiac lipoma. Journal of Community Hospital Internal Medicine Perspectives. 2015; 5(5):28449.
4.       Italiano A, Ebran N, Attias R, Chevallier A, Monticelli I, Mainguené C, et al. NFIB rearrangement in superficial, retroperitoneal, and colonic lipomas with aberrations involving chromosome band 9p22. Genes, Chromosomes and Cancer. 2008; 47(11):971-7.
5.       Zhu X, Cheng Z, Wang S, Chen X, Lu G, Li X. The characteristics of invasive cardiac lipoma: case report and literature review. Frontiers in Cardiovascular Medicine. 2023; 10:1195582.
6.       Shu S, Wang J, Zheng C. From pathogenesis to treatment, a systemic review of cardiac lipoma. Journal of cardiothoracic surgery. 2021; 16(1):1.
7.       Garekani MG, Poopak A, Pouraliakbar H, Barghi A, Omidvar R, Totonchi Z. Is peres formula reliable for determination of proper position of central venous catheter tip in Iranian population? Journal of Cardiovascular and Thoracic Research. 2025; 17(2):97.
8.       Maurer ER. Successful removal of tumor of the heart. Journal of Thoracic Surgery. 1952; 23(5):479-85.
9.       Miralles A, Bracamonte L, Soncul H, del Castillo RD, Akhtar R, Bors V, et al. Cardiac tumors: clinical experience and surgical results in 74 patients. The Annals of thoracic surgery. 1991; 52(4):886-95.
10.    ElBardissi AW, Dearani JA, Daly RC, Mullany CJ, Orszulak TA, Puga FJ, et al. Survival after resection of primary cardiac tumors: a 48-year experience. Circulation. 2008; 118(14_suppl_1):S7-S15.
11.    Zhu J, Liu Y, Xi E-P, Zhu S-B. A giant symptomatic cardiac lipoma recurring at the fifth year. International Journal of Clinical and Experimental Medicine. 2015; 8(8):14173.
12.    Zeng LJ, Huang LH, Tan H, Zhang HC, Mei J, Shi HF, et al. Stereotactic body radiation therapy for refractory ventricular tachycardia secondary to cardiac lipoma: a case report. Pacing and Clinical Electrophysiology. 2019; 42(9):1276-9.
13.    Hananouchi GI, Goff II WB. Cardiac lipoma: six-year follow-up with MRI characteristics, and a review of the literature. Magnetic resonance imaging. 1990; 8(6):825-8.
14.    Al-Sabeq B, Autry K, Nabi F. Do I look fat in this? Multimodality imaging findings of a cardiac Lipoma. Methodist DeBakey cardiovascular journal. 2019; 15(2):156.