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Background <p>Primary cardiac tumors are rare, with lipomas accounting for approximately 8–10% of benign neoplasms. They can arise in any chamber or layer of the heart; however, large lipomas, especially in the right atrium, are very uncommon and cause significant clinical complications.</p> Case presentation <p>This case report describes a 37-year-old male with a giant right atrial lipoma measuring 17 × 10 × 14&#xa0;cm (weighing 910&#xa0;g), which caused symptoms of heart failure. After thorough evaluation and considering preserved ventricular function, a subtotal surgical resection of the tumor with atrial wall reconstruction was performed. The postoperative period was uneventful, the patient recovered well, and no recurrence was detected at 6-month follow-up.</p> Conclusions <p>This case highlights the effectiveness of subtotal resection of large benign tumors as an alternative to heart transplantation.</p>

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A case report of successful subtotal resection giant right atrial lipoma avoiding heart transplantation

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月3日

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  • Borys Todurov,
  • Bohdan Hulitskyi,
  • Volodymyr Vashkeba,
  • Vasyl Karpenko,
  • Oksana Adamenko,
  • Olha Ushakova,
  • Evgen Oleynikov,
  • Stepan Maruniak

摘要

Background

Primary cardiac tumors are rare, with lipomas accounting for approximately 8–10% of benign neoplasms. They can arise in any chamber or layer of the heart; however, large lipomas, especially in the right atrium, are very uncommon and cause significant clinical complications.

Case presentation

This case report describes a 37-year-old male with a giant right atrial lipoma measuring 17 × 10 × 14 cm (weighing 910 g), which caused symptoms of heart failure. After thorough evaluation and considering preserved ventricular function, a subtotal surgical resection of the tumor with atrial wall reconstruction was performed. The postoperative period was uneventful, the patient recovered well, and no recurrence was detected at 6-month follow-up.

Conclusions

This case highlights the effectiveness of subtotal resection of large benign tumors as an alternative to heart transplantation.