title: Surgical treatment of giant intramural left ventricular fibroma in an adult patient with refractory ventricular tachycardia.
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.
authors.affiliation: Department of Cardiac Surgery, Hospital de León, León, Spain. javgua@hotmail.com
authors.forename: Javier
authors.initials: J
authors.lastname: Gualis
authors.forename: Mario
authors.initials: M
authors.lastname: Castaño
authors.forename: Jesús
authors.initials: J
authors.lastname: Gómez-Plana
authors.forename: Carlos
authors.initials: C
authors.lastname: Martín
authors.forename: David
authors.initials: D
authors.lastname: Alonso
mesh_terms: 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