Work

Surgical resection of primary cardiac fibroma of the left ventricle in an adult woman: case report

Year: 2025

Type: article

Abstract: Background: Primary cardiac fibroma is a rare benign tumour, accounting for ∼1% of all primary cardiac tumours in adults. Although histologically benign, it can cause severe complications including arrhythmias, heart failure, and even sudden death. Case summary: We report a 51-year-old female presenting with chest pain and exertional dyspnoea. Transthoracic echocardiography and cardiac magnetic resonance imaging revealed a large intramyocardial mass at the left ventricular apex. The patient underwent complete surgical resection under cardiopulmonary bypass. Histopathology confirmed a primary cardiac fibroma. The postoperative course was uneventful, and the patient remained well at 6-month follow-up without recurrence. Discussion: Surgical resection is the treatment of choice for primary cardiac fibroma, preventing life-threatening arrhythmias and haemodynamic compromise. This case highlights the importance of multimodality imaging and the role of surgical management.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytaf681

Authors: Ngo Phi Long, Ma Nguyen Thai Hoang, Phan Thanh Nam, Pham Quoc Dat

Institution: Bạch Mai Hospital

Language: English

Topic: Cardiac tumors and thrombi

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $815