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J Thorac Cardiovasc Surg 2009;137:e32-e34
© 2009 The American Association for Thoracic Surgery

Brief Communication

Is subtotal resection of a right ventricular fibroma a valid surgical option?

Roland Henaine, MD*, Emilie Adam, MD, Kasra Azarnoush, MD, N. Yashimura, MD, PhD, M. Cannesson, MD, A. Millon, MD, F. Lachhab, MD, Jean Ninet, MD, PhD

Department of Cardiac Surgery C, Cardiologic Hospital Louis Pradel, Lyon, France

Received for publication May 6, 2008; accepted for publication May 25, 2008.

* Address for reprints: Roland Henaine, MD, Department of Cardiac Surgery C, Cardiologic Hospital Louis Pradel, Avenue du Doyen Lépine, 69394 Lyon, France. (Email: roland.henaine@chu-lyon.fr).

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

We describe the case of a 40-year old woman with a right ventricular (RV) fibroma discovered after a syncopal episode, subtotal surgical resection was performed. Two years follow-up confirmed lesion stability.

Clinical Summary

We describe the case of a 40-year old woman with a right ventricular (RV) fibroma discovered after a syncopal episode. The patient presented for a diagnostic workup after falling down during normal daily activity. The results of transthoracic echocardiography were normal. Sleep monitoring was then performed, and we concluded that the patient had narcolepsy disturbance. However, transesophageal echocardiographic analysis revealed a thickening of the intraventricular septum, bulging into the RV. Magnetic resonance imaging (MRI; Figure 1, A ) showed a hypodense mass. Tumor markers were all within the normal range.


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  		Figure 1. A, Preoperative magnetic resonance image: cross-section showing right interventricular fibroma from the interventricular septum. The magnetic resonance image shows a hypodense mass measuring 6 x 4 cm located in the right ventricle, filling in all of the median and apical parts of the ventricle and spreading up to the pulmonary infundibulum close to the pulmonary valve which was widely open. Septal extension was difficult . . . [Full Text of this Article]

 





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