PMC3262495_01
(a) Preoperative chest X-ray with enlargement of the cardiac silhouette. (b) Postoperative chest X-ray after removing the tumour mass.
CARDIOLOGY2011-243637.001.jpg
PMC3262495_01_CARDIOLOGY2011-243637.001.jpg
fig1
The physical examination was completely unremarkable, all laboratory testings were within normal limits, and the ECG showed sinus rhythm; only the chest X-ray revealed an enlargement of the cardiac silhouette (Figure 1).
CT of the thorax with the left-sided lipomatous mass displacing the heart to the right hemithorax.
CARDIOLOGY2011-243637.002.jpg
PMC3262495_01_CARDIOLOGY2011-243637.002.jpg
fig2
Following echocardiographic examination and contrast-enhanced CT scan of the thorax revealed a lipomatous mass, measuring 16 x 14 x 12 cm, located on the left side of the heart with blood supply from the left coronary artery, highly suspective of a lipoma (Figure 2).
The yellowish lipoma mass with the lobulated surface and fibrous capsule.
CARDIOLOGY2011-243637.003.jpg
PMC3262495_01_CARDIOLOGY2011-243637.003.jpg
fig3
Gross examination revealed a homogenous yellowish vascularized tumour mass with a smooth lobulated surface limited by a fibrous capsule (Figure 3).
Histological examination of the lipoma revealed mature adipocytes accompanied by some small vessels and limited by a collagenous capsule. (H&E staining; left:original magnification x4, right:original magnification x10).
CARDIOLOGY2011-243637.004.jpg
PMC3262495_01_CARDIOLOGY2011-243637.004.jpg
fig4
Histologically, the excised specimen showed a fatty structure of mature benign fat with some areas of increased vascularity (Figure 4).