Left ventricular apical lipoma resected under the guidance of a mediastinoscope.
We report a 57-year-old man who was found to have a left ventricular apical mass during a routine check-up. He previously had neither any subjective symptom nor hemodynamic problem. The mass was located deeply in the left ventricular cavity. With exploration using a mediastinoscope, we successfully resected the tumor, which was a yellowish lipoid mass that adhered to the trabeculae near the apex. Histopathologic examination of the tumor was consistent with a lipoma, a very rare benign primary cardiac tumor. The mediastinoscope can be useful for surgical resection of tumors located deeply in the left ventricle.
Kim
Si-Wook
SW
Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungbuk National University, Cheongju, Chungbuk, Korea.
Hong
Jong-Myeon
JM
Kim
Dong-Woon
DW
D006338:Heart Neoplasms / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008067:Lipoma / Q000601:surgery*; D008297:Male; D008481:Mediastinoscopy; D008875:Middle Aged