title: Cardioverter-defibrillator implantation to treat cardiac fibroma-induced ventricular tachycardia in a 70-year-old woman.
abstract: Benign cardiac fibroma is rarely reported in adults. Its clinical symptoms are related to outflow obstruction or dysrhythmias. We present the case of a 70-year-old woman who had a syncopal episode from ventricular tachycardia caused by cardiac fibroma. Because of unfavorable tumor anatomy, the patient was not a candidate for surgical excision, and she declined orthotopic heart transplantation. To prevent sudden cardiac death, we placed an implantable cardioverter-defibrillator, and the patient remained well throughout the 2-year follow-up period. To our knowledge, this is the first report of implantable cardioverter-defibrillator therapy to treat an adult patient's unresectable cardiac fibroma.
authors: Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona 85255.
authors: Fayaz Ahmad
authors: FA
authors: Hakim
authors: Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona 85255.
authors: Anil
authors: A
authors: Pandit
authors: Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona 85255.
authors: Farouk
authors: F
authors: Mookadam
authors: Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona 85255.
authors: Sylvia
authors: S
authors: Mamby
mesh_terms: D000368:Aged; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D004554:Electric Countershock / Q000295:instrumentation*; D004562:Electrocardiography; D005260:Female; D005350:Fibroma / Q000150:complications* / Q000175:diagnosis; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D011237:Predictive Value of Tests; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Adult; cardioverter-defibrillators, implantable/therapy/utilization; fibroma/diagnosis/pathology; tachycardia, ventricular/etiology; treatment outcome