Fat here and fungus there: A rare association of cardiac lipoma and aspergilloma of lung

Abstract

Cardiac lipoma is a rare tumor and usually presents as lipomatous hypertrophy of the septum. Cardiac mass in the RV usually occurs due to thrombus from venous thromboembolism or cardiac tumor or vegetation. We present a case of cardiac lipoma in an elderly female who presented with dyspnea on exertion and aspergilloma in the lung, with echocardiogram revealing a cardiac mass. Endomyocardial biopsy identified the mass as lipoma. Multimodality approach may help in identifying the correct diagnosis in case of cardiac tumors. Cardiac tumors should be kept as a differential diagnosis in an undiagnosed right ventricular mass not responding to anticoagulation.

Keywords

• Cardiac tumor
• Cardiac lipoma
• Aspergilloma
• Endomyocardial biopsy
• Case report