Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1988 Aug;60(2):169–171. doi: 10.1136/hrt.60.2.169

Mitral incompetence associated with lipoma infiltrating the mitral valve.

D R Anderson 1, M R Gray 1
PMCID: PMC1216542  PMID: 3415877

Abstract

A 54 year old man presented with presyncopal symptoms. Echocardiography and subsequently computed tomography showed a mass in the posterior mitral annulus causing incompetence of the valve. At operation a lipoma was found which could not be resected. Mitral incompetence was the result of chordal rupture where the lipoma had engulfed the papillary muscle. The valve was replaced and the patient made an uneventful recovery. This case report shows a potential danger of an otherwise benign lesion.

Full text

PDF
169

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barberger-Gateau P., Paquet M., Desaulniers D., Chenard J. Fibrolipoma of the mitral valve in a child. Clinical and echocardiographic features. Circulation. 1978 Nov;58(5):955–958. doi: 10.1161/01.cir.58.5.955. [DOI] [PubMed] [Google Scholar]
  2. Behnam R., Williams G., Gerlis L., Walker D., Scott O. Lipoma of the mitral valve and papillary muscle. Am J Cardiol. 1983 May 1;51(8):1459–1460. doi: 10.1016/0002-9149(83)90331-4. [DOI] [PubMed] [Google Scholar]
  3. Bradford J. H., Nomeir A. M., Watts L. E. Left ventricular lipoma: echocardiographic and angiographic features. South Med J. 1980 May;73(5):663–665. doi: 10.1097/00007611-198005000-00034. [DOI] [PubMed] [Google Scholar]
  4. Godwin J. D., Axel L., Adams J. R., Schiller N. B., Simpson P. C., Jr, Gertz E. W. Computed tomography: a new method for diagnosing tumor of the heart. Circulation. 1981 Feb;63(2):448–451. doi: 10.1161/01.cir.63.2.448. [DOI] [PubMed] [Google Scholar]
  5. Harada K., Seki I., Kobayashi H., Okuni M., Sakurai I. Lipoma of the heart in a child. Clinical, echocardiographic, angiographic, and pathological features. Jpn Heart J. 1980 Nov;21(6):903–910. doi: 10.1536/ihj.21.903. [DOI] [PubMed] [Google Scholar]
  6. Huggins T. J., Huggins M. J., Schnapf D. J., Brott W. H., Sinnott R. C., Shawl F. A. Left atrial myxoma: computed tomography as a diagnostic modality. J Comput Assist Tomogr. 1980 Apr;4(2):253–255. [PubMed] [Google Scholar]
  7. Moncada R., Baker M., Salinas M., Demos T. C., Churchill R., Love L., Reynes C., Hale D., Cardoso M., Pifarre R. Diagnostic role of computed tomography in pericardial heart disease: congenital defects, thickening, neoplasms, and effusions. Am Heart J. 1982 Feb;103(2):263–282. doi: 10.1016/0002-8703(82)90499-9. [DOI] [PubMed] [Google Scholar]
  8. Norlindh T., Lilja B., Nyman U., Hellekant C. Left atrial myxoma demonstrated with CT. AJR Am J Roentgenol. 1981 Jul;137(1):153–154. doi: 10.2214/ajr.137.1.153. [DOI] [PubMed] [Google Scholar]
  9. Silverman N. A. Primary cardiac tumors. Ann Surg. 1980 Feb;191(2):127–138. doi: 10.1097/00000658-198002000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Sutton D., Al-Kutoubi M. A., Lipkin D. P. Left atrial myxoma diagnosed by computerized tomography. Br J Radiol. 1982 Jan;55(649):80–81. doi: 10.1259/0007-1285-55-649-80. [DOI] [PubMed] [Google Scholar]
  11. Tsuchiya F., Kohno A., Saitoh R., Shigeta A. CT findings of atrial myxoma. Radiology. 1984 Apr;151(1):139–143. doi: 10.1148/radiology.151.1.6701303. [DOI] [PubMed] [Google Scholar]
  12. Williamson B. R., Sturtevant N. V., Black W. C., Brenbridge A. N., Teates C. D. Epicardial lipoma: a CT diagnosis. Comput Radiol. 1985 May-Jun;9(3):169–171. doi: 10.1016/0730-4862(85)90160-x. [DOI] [PubMed] [Google Scholar]
  13. Zingas A. P., Carrera J. D., Murray C. A., 3rd, Kling G. A. Lipoma of the myocardium. J Comput Assist Tomogr. 1983 Dec;7(6):1098–1100. doi: 10.1097/00004728-198312000-00034. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES