CASE REPORTS   

Chirurgia 2006 August;19(4):263-5

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

Complex left ventricular reconstruction after resection of a cardiac giant lipoma

Hosono M., Shibata T., Aoyama T., Sakaguchi M., Ikuta T., Suehiro S.

Department of Cardiovascular Surgery Osaka City University Graduate School of Medicine Osaka, Japan

A 39-year-old woman had a left ventricular giant lipoma, which compromised her left ventricular chamber volume. A large part of the tumor was buried in the myocardium of the interventricular septum and firmly adherent to the anterior wall near the apex. To remove the tumor, the septum was deeply split and an anterior wall defect near the apex was created by resection of this tumor. The interventricular septum was reconstructed using her own myocardium and the anterior wall defect was repaired with a circular patch. The patient was easily weaned from extracorporeal circulation and her early postoperative course was uncomplicated. Echocardiographic follow-up data showed restrictive diastolic dysfunction until one year after the surgery. However, during three years postoperative follow-up, she is asymptomatic with no recurrence.