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J Thorac Cardiovasc Surg 2005;129:1444-1445
© 2005 The American Association for Thoracic Surgery

Brief Communication

Complete surgical excision of a huge left ventricular fibroma

Josep M. Caralps, MDa,*, José Montiel, MDa, Josep Reig, MDb, Josep M. García Boldu, MDb, Francesc Carreras, MDa

a Servicios de Cirugía Cardíaca, Hospital Santa Creu i Sant Pau, Barcelona, Spain
b Unidad Coronaria, Centre Hospitalari Manresa, Spain

Received for publication January 7, 2005; accepted for publication January 11, 2005.

* Address for reprints: Josep M. Caralps, MD, Servicio de Cirugía Cardíaca, Hospital de la Santa Creu i Sant Pau, Av. Antoni M. Claret 167, 08025-Barcelona, Spain (Email: 9131jmc@comb.es).

The first 20% of the full text of this article appears below.

Cardiac fibromas are infrequent tumors, and although they are histologically benign, their location and size may be responsible for hemodynamic compromise or ventricular arrhythmias that can cause sudden death. Therefore, once diagnosis is made, surgical excision is the best option.1

Clinical Summary

A 25-year-old woman was seen by her doctor because of nonspecific chest pains. The patient had no risk factors for ischemic heart disease, but in the electrocardiogram there were nonspecific repolarization changes; a myocardial single-photon emission computed tomography scan showed a large anterolateral perfusion defect with deformity of the surrounding tissue, thus suggesting intramural growth. Magnetic resonance imaging disclosed the presence of an intramural ventricular mass (6 x 9 x 5 cm) occupying the entire anterolateral left ventricular wall (Figure 1). The tumor was pushing the septum rightward and restricted left ventricular filling. In the . . . [Full Text of this Article]






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