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Case Reports in Cardiology
Volume 2018, Article ID 3531982, 3 pages
Case Report

Cardiac Lipoma: An Uncharacteristically Large Intra-Atrial Mass Causing Symptoms

1SSM Health Good Samaritan Hospital, Good Samaritan Way, Mount Vernon, IL 62864, USA
2Southern Illinois Heart and Vascular Center, 4115 S. Water Tower Place, Mount Vernon, IL 62864, USA

Correspondence should be addressed to Fahad Syed Naseerullah; moc.liamtoh@7892_dahaf

Received 1 October 2017; Accepted 21 December 2017; Published 6 February 2018

Academic Editor: Ertugrul Ercan

Copyright © 2018 Fahad Syed Naseerullah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Primary tumours of the heart are often encountered in clinical practice. Different autopsy series estimate the incidence to be anywhere from 0.001% to 0.19%. Cardiac lipoma is a rare type of tumour of the heart and pericardium. It comprises approximately 10–19% of all cardiac tumours. We present a case of a large cardiac lipoma in a fifty-year-old female. She presented with sharp chest pains, palpitations, and dizziness. Acute coronary syndrome was ruled out. A transthoracic echocardiogram showed an abnormal, large, fixed right atrial mass. The mass was noted to be occupying most of the right atrium. It was excised due to its large size and persistent symptoms. On pathophysiology, the mass was definitively diagnosed to be an 80 mm × 70 mm cardiac lipoma. Postoperatively, the patient did well with resolution of her symptoms. This case provides evidence that even large, invasive, symptomatic cardiac lipomas can be successfully resected with good outcomes.