Surgical treatment of giant intramural left ventricular fibroma in an adult patient with refractory ventricular tachycardia.
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.
Gualis
Javier
J
Department of Cardiac Surgery, Hospital de León, León, Spain. javgua@hotmail.com
Castaño
Mario
M
Gómez-Plana
Jesús
J
Martín
Carlos
C
Alonso
David
D
D006348:Cardiac Surgical Procedures; D004452:Echocardiography; D005350:Fibroma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology; D017180:Tachycardia, Ventricular / Q000209:etiology*; D016896:Treatment Outcome