Asian Cardiovasc Thorac Ann 2004;12:89
© 2004 Asia Publishing EXchange Ltd
IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Intraoperative View of Cardiac Lipoma by Using a Compact Camera
Masao Yoshitatsu, MD,
Fumikazu Nomura, MD,
Akira Katayama, MD,
Kentaro Tamura, MD,
Keijiro Katayama, MD,
Katsuhiko Ihara, MD
Division of Cardiovascular Surgery, National Kure Medical Center, Hiroshima, Japan
For reprint information contact: Masao Yoshitatsu, MD Tel: 81 823 223 111 Fax: 81 823 210 478 Email: yoshitatsu{at}kure-nh.go.jp Division of Cardiovascular Surgery, National Kure Medical Center, 3-1, Aoyama, Kure, Hiroshima, 737-0023, Japan
An 81-year-old woman was referred to our hospital for transient ischemic attack like episode. Transthoracic echocardiography and transesophageal echocardiography showed a fluttering mass of 1.5 x 1.5 cm in the left ventricle attached to the posterior wall was demonstrated (Figure 1
). The operation was performed on total cardiopulmonary bypass. After the aorta was crossclamped, left atrium was opened to find the mass. Figure 2 is an intraoperative view of lipoma on the posterior wall through the mitral valve by using a compact camera. A yellowish white soft tumor located in the posterior wall of left ventricle close to the papillary muscle. There was no steel but had few strand and demarcation of the tumor was poor. The soft tumor was picked up and excised as much as possible, however, the margin was not clear enough to excise it completely. Histopathological examination showed a firm yellowish lobulated mass which, on microscopic examination, revealed massive fatty infiltration with lipomatous feature.
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Figure 1. Two-chamber view of transesophageal echocardiogram showed a fluttering mass in the left ventricle attached to the posterior wall. (Arrow) (LV = left ventricle; LA = left atrium)
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Figure 2. This photograph showed the operative view through the mitral valve. (* indicates the lipoma and ** indicates the papillary muscle)
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