Recommended Citation
Kerndt CC, Balinski AM, and Papukhyan HV. Giant Pericardial Lipoma Inducing Cardiac Tamponade and New Onset Atrial Flutter. Case Rep Cardiol 2020.
Document Type
Article
Publication Date
1-1-2020
Publication Title
Case Rep Cardiol
Abstract
Although pericardial lipomas are both rare and benign, rapid or excessive growth can induce potentially fatal conditions such as pericarditis, arrhythmia, and cardiac tamponade. This case illustrates an example where a 65-year-old with atypical chest tightness unveiled a 10 × 15 cm anterior pericardial mass with circumferential effusion and progressive deterioration to cardiac tamponade. Initial transthoracic echocardiogram imaging was technically difficult in this patient due to habitus and body mass, which failed to illustrate underlying effusion. Recurrent bouts of refractory supraventricular tachycardia prompted further investigation of this patient's presentation with transesophageal echocardiogram, which showed evidence of an echogenic mass with cardiac tamponade. An urgent pericardial window and pericardial lipectomy immediately relieved this hemodynamically compromising condition. Subsequent atrial flutter resulted with the removal of the anterior fat pad during surgery, complicating recovery.
PubMed ID
32190390
ePublication
ePub ahead of print
Volume
2020
