Pericardial Lipoma With Fat Necrosis

Natsuki Higashimoto; Shingo Ota; Shinichi Murata; Yoshiharu Nishimura; Atsushi Tanaka

doi:10.1016/j.jaccas.2022.10.010

Pericardial Lipoma With Fat Necrosis

JACC Case Rep. 2022 Nov 16;4(23):101677. doi: 10.1016/j.jaccas.2022.10.010. eCollection 2022 Dec 7.

Authors

Natsuki Higashimoto¹, Shingo Ota¹, Shinichi Murata², Yoshiharu Nishimura³, Atsushi Tanaka¹

Affiliations

¹ Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan.
² Departments of Human Pathology and Diagnostic Pathology, Wakayama Medical University, Wakayama, Japan.
³ Department of Cardiovascular Surgery, Wakayama Medical University, Wakayama, Japan.

Abstract

A pericardial lipoma is a rare benign cardiac tumor, and fat necrosis is an uncommon clinical condition. This is the first reported case of pericardial lipoma with fat necrosis, which showed clinical presentations of a malignant tumor despite imaging findings consistent with benign lipoma. (Level of Difficulty: Advanced.).

Keywords: CMR, cardiac magnetic resonance; CT, computed tomography; fat necrosis; hemorrhagic pericardial effusion; pericardial lipoma.