ABSTRACT
BACKGROUND: Left ventricle (LV) lipoma is a very rare, benign cardiac tumor. Due to its rarity, LV lipoma is often misdiagnosed. Aspecific symptoms such as murmurs, arrhythmias, memory loss and palpitation may occur due to the mass effect. CASE PRESENTATION: We report a case report of a 42 year old woman who was found to have left ventricle mass after check-up for arrhytmia. By a fully endoscopic approach, the mass was successfully resected from the left ventricle without the need for sternotomy. CONCLUSION: Total endoscopic removal of left ventricle lipoma's can be done safely and has several advantages to conventional sternotomy. Larger studies are needed to confirm this hypothesis.
Subject(s)
Heart Neoplasms , Lipoma , Adult , Female , Heart Neoplasms/diagnostic imaging , Heart Neoplasms/surgery , Heart Ventricles/diagnostic imaging , Heart Ventricles/surgery , Humans , In Situ Hybridization, Fluorescence , Lipoma/diagnostic imaging , Lipoma/surgery , Mitral ValveABSTRACT
We report on a 65-year-old patient who underwent a semi-urgent percutaneous coronary intervention (PCI) for a very late stent subthrombosis (13 months) in a paclitaxel-eluting stent (PES) while still on dual antiplatelet therapy.The procedure was complicated by a retrograde embolization into the circumflex artery (CFX). We will focus on the risk of distal embolization after primary PCI for acute stent thrombosis and its prevention.
Subject(s)
Angioplasty, Balloon, Coronary , Coronary Thrombosis/therapy , Drug-Eluting Stents/adverse effects , Aged , Coronary Angiography , Coronary Stenosis/therapy , Coronary Thrombosis/etiology , Humans , Male , Paclitaxel/administration & dosage , Platelet Aggregation Inhibitors/therapeutic use , Time FactorsABSTRACT
Primary cardiac tumors are rare. Although the majority are benign, they may cause significant morbidity and mortality. Two-dimensional transthoracic echocardiography (2D-TTE) is the primary imaging modality for the diagnosis of cardiac tumors. New and more complex non-invasive imaging modalities, such as cardiac magnetic resonance (CMR), do not always provide an added value. This is illustrated in the presented case report of a papillary fibroelastoma (PFE).
