A rare case of ventricular tachycardia caused by an intramyocardial fibroma with successful surgical resection in an adult.

Autor: Binder MS; Department of Cardiology, Virginia Tech Carilion Roanoke Memorial Hospital, 1906 Belleview Ave SE, Roanoke, VA, 24015, USA. msbinder@carilionclinic.org., Roby M; Department of Cardiology, Virginia Tech Carilion Roanoke Memorial Hospital, 1906 Belleview Ave SE, Roanoke, VA, 24015, USA., Chancellor W; Department of Cardiothoracic Surgery, University of Virginia, Charlottesville, VA, USA., Yarboro L; Department of Cardiothoracic Surgery, University of Virginia, Charlottesville, VA, USA., Arnold S; Department of Cardiothoracic Surgery, Virginia Tech Carilion Roanoke Memorial Hospital, Roanoke, VA, USA., Hodge K; Department of Pathology, University of Virginia, Charlottesville, VA, USA., Kern J; Department of Cardiothoracic Surgery, University of Virginia, Charlottesville, VA, USA., Sane D; Department of Cardiology, Virginia Tech Carilion Roanoke Memorial Hospital, 1906 Belleview Ave SE, Roanoke, VA, 24015, USA.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2024 Sep 05; Vol. 19 (1), pp. 515. Date of Electronic Publication: 2024 Sep 05.
DOI: 10.1186/s13019-024-02986-3
Abstrakt: Background: Cardiac fibromas are extremely rare in adults. The preferred treatment is surgical resection, but antiarrhythmic medications or heart transplantation have also been used previously. The cardiac imaging, particularly MRI, can be useful to help delineate between primary cardiac tumors, and surgical factors such as the extent/size of the fibroma, involvement of the coronary arteries or mitral apparatus and amount of residual myocardium influence whether surgical resection is feasible.
Case Presentation: A 42-year-old male presented with a wide-complex tachycardia, unresponsive to amiodarone. An echocardiogram was performed which showed a possible posterior wall mass. A cardiac MRI showed a well circumscribed lateral wall intracardiac fibroma, measuring 5.2 × 5.1 × 3.8 cm with preserved function. Surgical resection was successful, and he was discharged without a defibrillator.
Conclusions: Cardiac fibromas are encapsulated tumors which do not infiltrate myocardium and should be surgically resected if possible.
(© 2024. The Author(s).)
Databáze: MEDLINE
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