Peñalver VR, López EA

Language: Spanish
References: 10
Page: 196-201
PDF size: 213.90 Kb.

ABSTRACT

Introduction: primary heart tumors are rare. According to several necropsia studies, their incidence varies from 0.001% to 0.28% and in their majority (75%), they have a benign character; lipomas represent the 8.4% among all the primary heart tumors.
Case report: male patient, Caucasian race, 62 years old, smoker, with antecedents of bronchial asthma degree 2, who attended at Pedro Borras Astorga (outpatient) Clinic in La Palma in October 2012, referring effort dyspnea, two-month history, and ocasional dry cough. During the body examination, no data of interest was compiled regarding both the respiratory and cardivascular systems. The patients went through complementary tests such as chest X-rays, where a radio-opaque lesion is visualized at the right cardiophrenic angle, because of which a Multislice CAT to the chest is indicated, and shows low-density images located in connection with the parietal pericardium, turning out to be a pericardial lipoma.
Conclusions: multislice CAT constitutes an indispensable test to the diagnosis, because it shown with a high specificity, some aspects such as location, dimension, and density.

REFERENCES

1. Breglia RA. Tumores primarios del corazón. Rev Arg Card. 2010; 16(4).

2. Valencia Á, Lombo M, Correa J. Lipoma intrapericardico gigante. Revista Colombiana de Cirugía. 2011; 26(3).

3. Jiménez S, Palma J, Reyes G. Lipoma intramiocárdico. Rev Esp Cardiol. 2009; 62(03).

4. Da Silveira WL, Max Weyler N, Garcia Soares EC SE, Ferreira Leite A, Nazatta H, Andery Ludovico Batista MA et al. Lipoma of the right atrium. Arq. Bras. Cardiol. 2001 Oct; 77(4): 365-368.

5. Blajot Peña I. Radiología Clínica del Tórax. 2ª ed. Barcelona. Toray.1977

6. Kumar S , Jain P, Sen R, Rattan KN. Giant pericardial cyst in a 5-year-old child: A rare anomaly. Annals of Pediatric. 2011; 4(1).

7. Matteoda M, Giaccio E. Un varón de 26 años con una lesión en ángulo cardiofrénico derecho. Rev Hosp Priv Com. 2003; 6(2).

8. Song Y, Hickey W, Nabi F, Chang SM. Extensive cardiac lipoma with aneurysmal right ventricle. Interact CardioVasc Thorac Surg. 2010; 11(5): 691-692.

9. Figueira F, Moraes-Neto F, Ribeiro de Moraes CR. Lipoma resection of the interventricular septum. Rev Bras Cir Cardiov. 2010; 23(4): 591-593.

10. Joaquim MR, Braile DM, Ferraz de Arruda MV, Ferreira Soares MJ . Ressecção de um lipoma de átrio direito e reconstrução parcial com pericárdio bovino. Rev Bras Cir Cardiovasc. 2009; 24(2): 239-241.