Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. May 26, 2020; 12(5): 220-227
Published online May 26, 2020. doi: 10.4330/wjc.v12.i5.220
Incidental discovery of right ventricular lipoma in a young female associated with ventricular hyperexcitability: An imaging multimodality approach
Khaled Elenizi, Anthony Matta, Rasha Alharthi, Francisco Campelo-Parada, Thibault Lhermusier, Frederic Bouisset, Meyer Elbaz, Didier Carrié, Jerome Roncalli
Khaled Elenizi, Department of Internal Medicine, College of Medicine, Prince Sattam bin Abdulaziz University, Alkharj 11942, Saudi Arabia
Khaled Elenizi, Anthony Matta, Rasha Alharthi, Francisco Campelo-Parada, Thibault Lhermusier, Frederic Bouisset, Meyer Elbaz, Didier Carrié, Jerome Roncalli, Cardiovascular Department, Institute CARDIOMET, Rangueil University Hospital, Toulouse 31400, France
Anthony Matta, Faculty of Medicine, Holy Spirit University of Kaslik, Kaslik 1103, Lebanon
Author contributions: All authors have contributed equally to this manuscript.
Informed consent statement: Informed written consent was obtained.
Conflict-of-interest statement: No conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Anthony Matta, MD, Doctor, Cardiovascular Department, Institute CARDIOMET, Rangueil University Hospital, Toulouse 31400, France. dr.anthonymatta@hotmail.com
Received: March 1, 2020
Peer-review started: March 1, 2020
First decision: April 3, 2020
Revised: April 8, 2020
Accepted: May 5, 2020
Article in press: May 5, 2020
Published online: May 26, 2020
Processing time: 84 Days and 14.5 Hours
Abstract
BACKGROUND

Cardiac lipomas are rare benign tumors commonly found in the right atrium or left ventricle. Patients are usually asymptomatic, and clinical presentation depends on location and adjacent structures impairment. Right ventricle lipomas are scarce in the literature. Moreover, the previous published cases were reported in over 18-year-old patients.

CASE SUMMARY

We report a giant right ventricle lipoma discovered incidentally in a 17-year-old female while performing preoperative work-up. The diagnosis was confirmed by histopathological examination, and a conservative approach was performed.

CONCLUSION

Multimodal cardiac imaging and histopathological examination are required for a definitive diagnosis. The therapeutic approach depends on clinical presentation.

Keywords: Cardiac lipoma; Polymorphic premature ventricular contractions; Giant cardiac tumor; Cardiac magnetic resonance imaging; Case report

Core tip: We describe an extremely rare case of cardiac lipoma raising from the right ventricle in a young patient aged less than 18-years-old. It was discovered incidentally while performing preoperative workup. Variable cardiac imaging modalities such as transthoracic echocardiogram, cardiac computed tomography-scan, positron emission tomography-scan and cardiac magnetic resonance were used. Then, the diagnosis was confirmed by histopathological examination.