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Cardiac Lipoma
Suhny Abbara, MD, FACR, FSCCT; Christopher M. Walker, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Benign encapsulated cardiac mass composed of mature adipocytes

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Echocardiographic Findings

                    • Angiographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Rocha RV et al: Adipose tumors of the heart. J Card Surg. 33(8):432-37, 2018
                                              2. Díaz Angulo C et al: Imaging findings in cardiac masses (Part I): study protocol and benign tumors. Radiologia. ePub, 2015
                                              3. Girrbach F et al: Epicardial lipoma--a rare differential diagnosis in cardiovascular medicine. Eur J Cardiothorac Surg. 41(3):699-701, 2012
                                              4. Adriaensen ME et al: Mature fat cells in the myocardium of patients with tuberous sclerosis complex. J Clin Pathol. 64(3):244-5, 2011
                                              5. Rajiah P et al: Multimodality imaging of an unusual case of right ventricular lipoma. Circulation. 124(17):1897-8, 2011
                                              6. Adriaensen ME et al: Fatty foci in the myocardium in patients with tuberous sclerosis complex: common finding at CT. Radiology. 253(2):359-63, 2009
                                              7. Kosar F et al: A case of a large intrapericardial lipoma occupying pericardial space. J Card Surg. 22(5):427-9, 2007
                                              8. Matsushita T et al: Aortic valve lipoma. Ann Thorac Surg. 83(6):2220-2, 2007
                                              9. Taori K et al: Intrapericardial teratoma diagnosed on CT. J Thorac Imaging. 22(2):185-7, 2007
                                              10. Ou P et al: Images in cardiovascular medicine. Cardiac teratoma in a newborn with right ventricular outflow tract obstruction. Circulation. 113(2):e17-8, 2006
                                              11. Kato S et al: [Cardiac liposarcoma at the right ventricular outflow tract (RVOT) following lipomatous hypertrophy of the interatrial septum (LHIS); report of a case] Kyobu Geka. 57(2):143-6, 2004
                                              12. Uemura S et al: Extensive primary cardiac liposarcoma with multiple functional complications. Heart. 90(8):e48, 2004
                                              13. Frank H: Cardiac and paracardiac masses. In Manning WJ et al: Cardiovascular Magnetic Resonance. Philadelphia: Churchill Livingstone, 2002
                                              14. Gaerte SC et al: Fat-containing lesions of the chest. Radiographics. 22 Spec No:S61-78, 2002
                                              15. Colucci WS et al: Primary tumors of the heart. In Braunwald E: Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: W. B. Saunders, 2001
                                              16. Grebenc ML et al: Primary cardiac and pericardial neoplasms: radiologic-pathologic correlation. Radiographics. 20(4):1073-103; quiz 1110-1, 1112, 2000
                                              17. Vander Salm TJ: Unusual primary tumors of the heart. Semin Thorac Cardiovasc Surg. 12(2):89-100, 2000
                                              18. Beghetti M et al: Images in cardiovascular medicine. Intrapericardial teratoma. Circulation. 97(15):1523-4, 1998
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Benign encapsulated cardiac mass composed of mature adipocytes

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Echocardiographic Findings

                                                                • Angiographic Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Rocha RV et al: Adipose tumors of the heart. J Card Surg. 33(8):432-37, 2018
                                                                                          2. Díaz Angulo C et al: Imaging findings in cardiac masses (Part I): study protocol and benign tumors. Radiologia. ePub, 2015
                                                                                          3. Girrbach F et al: Epicardial lipoma--a rare differential diagnosis in cardiovascular medicine. Eur J Cardiothorac Surg. 41(3):699-701, 2012
                                                                                          4. Adriaensen ME et al: Mature fat cells in the myocardium of patients with tuberous sclerosis complex. J Clin Pathol. 64(3):244-5, 2011
                                                                                          5. Rajiah P et al: Multimodality imaging of an unusual case of right ventricular lipoma. Circulation. 124(17):1897-8, 2011
                                                                                          6. Adriaensen ME et al: Fatty foci in the myocardium in patients with tuberous sclerosis complex: common finding at CT. Radiology. 253(2):359-63, 2009
                                                                                          7. Kosar F et al: A case of a large intrapericardial lipoma occupying pericardial space. J Card Surg. 22(5):427-9, 2007
                                                                                          8. Matsushita T et al: Aortic valve lipoma. Ann Thorac Surg. 83(6):2220-2, 2007
                                                                                          9. Taori K et al: Intrapericardial teratoma diagnosed on CT. J Thorac Imaging. 22(2):185-7, 2007
                                                                                          10. Ou P et al: Images in cardiovascular medicine. Cardiac teratoma in a newborn with right ventricular outflow tract obstruction. Circulation. 113(2):e17-8, 2006
                                                                                          11. Kato S et al: [Cardiac liposarcoma at the right ventricular outflow tract (RVOT) following lipomatous hypertrophy of the interatrial septum (LHIS); report of a case] Kyobu Geka. 57(2):143-6, 2004
                                                                                          12. Uemura S et al: Extensive primary cardiac liposarcoma with multiple functional complications. Heart. 90(8):e48, 2004
                                                                                          13. Frank H: Cardiac and paracardiac masses. In Manning WJ et al: Cardiovascular Magnetic Resonance. Philadelphia: Churchill Livingstone, 2002
                                                                                          14. Gaerte SC et al: Fat-containing lesions of the chest. Radiographics. 22 Spec No:S61-78, 2002
                                                                                          15. Colucci WS et al: Primary tumors of the heart. In Braunwald E: Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: W. B. Saunders, 2001
                                                                                          16. Grebenc ML et al: Primary cardiac and pericardial neoplasms: radiologic-pathologic correlation. Radiographics. 20(4):1073-103; quiz 1110-1, 1112, 2000
                                                                                          17. Vander Salm TJ: Unusual primary tumors of the heart. Semin Thorac Cardiovasc Surg. 12(2):89-100, 2000
                                                                                          18. Beghetti M et al: Images in cardiovascular medicine. Intrapericardial teratoma. Circulation. 97(15):1523-4, 1998