Surgical treatment of giant intramural left ventricular fibroma in an adult patient with refractory ventricular tachycardia

J Card Surg. 2010 Nov;25(6):656-8. doi: 10.1111/j.1540-8191.2010.01105.x. Epub 2010 Aug 27.

Abstract

Cardiac fibromas are rare benign tumors predominantly diagnosed in children and teenagers. We report a 57-year-old male patient with class II dyspnea and angina. During electrocardiographic assessment, recurrent ventricular tachycardia was present and magnetic resonance imaging revealed a giant (12.5 × 5 × 4 cm) intramural left ventricular tumor compatible with cardiac fibroma. After surgical biopsy and histological confirmation, open-heart surgical resection was successfully performed. After nine months of follow up, the patient remains asymptomatic without evidence of ventricular tachycardia.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Surgical Procedures
  • Echocardiography
  • Fibroma / complications
  • Fibroma / diagnosis
  • Fibroma / surgery*
  • Heart Neoplasms / complications
  • Heart Neoplasms / diagnosis
  • Heart Neoplasms / surgery*
  • Heart Ventricles
  • Humans
  • Hypertrophy, Left Ventricular / etiology
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Mitral Valve Insufficiency / etiology
  • Tachycardia, Ventricular / etiology*
  • Treatment Outcome