Unveiling the Unforeseen: Left Ventricular Fibroma Recurrence or Rare Complication? A Multimodality Imaging Revelation
-
Sahar Asl Fallah
,
Mohammad Sahebjam
,
kyomars abbasi
,
Narges Shahbazi
,
shayan shahi
,
Samira Shirzad
Abstract
Cardiac fibroma is a sporadic primary cardiac tumor that is more prevalent in children but accounts for approximately 1% of cardiac tumors in the adult population. It is a benign tumor consisting of fibroblasts and connective tissues, typically associated with a favorable prognosis. Nonetheless, large fibromas may have a poorer prognosis due to the increased risk of arrhythmias and sudden cardiac death.
In this case report, we describe a 38-year-old woman who experienced chest discomfort and shortness of breath roughly 3 months following the total resection of a left ventricular fibroma. The initial suspicion was the recurrence of fibroma, but upon further investigation, an intriguing scenario unfolded: the formation of a hematoma and abscess at the previous surgical site. Ultimately, the patient underwent redo-cardiac surgery.
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2. Darwazah AK, Shoeb J, Eissa S. Pedunculated endocardial left ventricular fibroma presenting with cerebral and bilateral peripheral embolization. Ann Thorac Surg. 2010;89(3):965-7.
3. Parmley LF, Salley RK, Williams JP, Head GB 3rd. The clinical spectrum of cardiac fibroma with diagnostic and surgical considerations: noninvasive imaging enhances management. Ann Thorac Surg. 1988;45(5):455-65.
4. Cho JM, Danielson GK, Puga FJ, Dearani JA, McGregor CG, Tazelaar HD, et al. Surgical resection of ventricular cardiac fibromas: early and late results. Ann Thorac Surg. 2003;76(6):1929-34.
5. Chen Y, Sun J, Chen W, Peng Y, An Q. Third-degree atrioventricular block in an adult with a giant cardiac fibroma. Circulation. 2013;127(18):e522-4.
6. Torimitsu S, Nemoto T, Wakayama M, Okubo Y, Yokose T, Kitahara K, et al. Literature survey on epidemiology and pathology of cardiac fibroma. Eur J Med Res. 2012;17:5.
7. Schroeder JK, Srinivasan V. Intraluminal pulmonary artery fibroma in a 7-year-old boy. Pediatr Cardiol. 2000;21(5):480-2.
8. Zheng XJ, Song B. Left ventricle primary cardiac fibroma in an adult: a case report. Oncol Lett. 2018;16(5):5463-5.
9. Tao TY, Yahyavi-Firouz-Abadi N, Singh GK, Bhalla S. Pediatric cardiac tumors: clinical and imaging features. Radiographics. 2014;34(4):1031-46.
10. Kusajima K, Hata H, Fujita T, Shimahara Y, Sato S, Ishibashi-Ueda H, Kobayashi J. Successful surgical treatment for recurrent cardiac fibroma 21 years after resection. Surg Case Rep. 2015 Dec;1(1):41.
11. Padalino MA, Vida VL, Boccuzzo G, Tonello M, Sarris GE, Berggren H, et al. Surgery for primary cardiac tumors in children: early and late results in a multicenter European Congenital Heart Surgeons Association study. Circulation. 2012;126(1):22-30.
12. Cho JM, Danielson GK, Puga FJ, Dearani JA, McGregor CG, Tazelaar HD, et al. Surgical resection of ventricular cardiac fibromas: early and late results. Ann Thorac Surg. 2003;76(6):1929-34.
13. McAllister HA Jr, Hall RJ, Cooley DA. Tumors of the heart and pericardium. Curr Probl Cardiol. 1999;24(2):57-116.
14. Teng F, Yang S, Chen D, Fang W, Shang J, Dong S, et al. Cardiac fibroma: a clinicopathologic study of a series of 12 cases. Cardiovasc Pathol. 2022;56:107381.
15. Bruce CJ. Cardiac tumors: diagnosis and management. Heart. 2011;97(2):151-60.
16. Kimura A, Kanzaki H, Izumi C, Miyoshi S, Takeda Y, Yasaka M, et al. A case report of primary cardiac fibroma: an effective approach for diagnosis and therapy of a pathologically benign tumor with an unfavorable prognosis. Eur Heart J Case Rep. 2020;4(4):1-5.
17. Burke AP, Rosado-de-Christenson M, Templeton PA, Virmani R. Cardiac fibroma: clinicopathologic correlates and surgical treatment. J Thorac Cardiovasc Surg. 1994;108(5):862-70.
18. Leja MJ, Perryman L, Reardon MJ. Resection of left ventricular fibroma with subacute papillary muscle rupture. Tex Heart Inst J. 2011;38(3):279-81.
2. Darwazah AK, Shoeb J, Eissa S. Pedunculated endocardial left ventricular fibroma presenting with cerebral and bilateral peripheral embolization. Ann Thorac Surg. 2010;89(3):965-7.
3. Parmley LF, Salley RK, Williams JP, Head GB 3rd. The clinical spectrum of cardiac fibroma with diagnostic and surgical considerations: noninvasive imaging enhances management. Ann Thorac Surg. 1988;45(5):455-65.
4. Cho JM, Danielson GK, Puga FJ, Dearani JA, McGregor CG, Tazelaar HD, et al. Surgical resection of ventricular cardiac fibromas: early and late results. Ann Thorac Surg. 2003;76(6):1929-34.
5. Chen Y, Sun J, Chen W, Peng Y, An Q. Third-degree atrioventricular block in an adult with a giant cardiac fibroma. Circulation. 2013;127(18):e522-4.
6. Torimitsu S, Nemoto T, Wakayama M, Okubo Y, Yokose T, Kitahara K, et al. Literature survey on epidemiology and pathology of cardiac fibroma. Eur J Med Res. 2012;17:5.
7. Schroeder JK, Srinivasan V. Intraluminal pulmonary artery fibroma in a 7-year-old boy. Pediatr Cardiol. 2000;21(5):480-2.
8. Zheng XJ, Song B. Left ventricle primary cardiac fibroma in an adult: a case report. Oncol Lett. 2018;16(5):5463-5.
9. Tao TY, Yahyavi-Firouz-Abadi N, Singh GK, Bhalla S. Pediatric cardiac tumors: clinical and imaging features. Radiographics. 2014;34(4):1031-46.
10. Kusajima K, Hata H, Fujita T, Shimahara Y, Sato S, Ishibashi-Ueda H, Kobayashi J. Successful surgical treatment for recurrent cardiac fibroma 21 years after resection. Surg Case Rep. 2015 Dec;1(1):41.
11. Padalino MA, Vida VL, Boccuzzo G, Tonello M, Sarris GE, Berggren H, et al. Surgery for primary cardiac tumors in children: early and late results in a multicenter European Congenital Heart Surgeons Association study. Circulation. 2012;126(1):22-30.
12. Cho JM, Danielson GK, Puga FJ, Dearani JA, McGregor CG, Tazelaar HD, et al. Surgical resection of ventricular cardiac fibromas: early and late results. Ann Thorac Surg. 2003;76(6):1929-34.
13. McAllister HA Jr, Hall RJ, Cooley DA. Tumors of the heart and pericardium. Curr Probl Cardiol. 1999;24(2):57-116.
14. Teng F, Yang S, Chen D, Fang W, Shang J, Dong S, et al. Cardiac fibroma: a clinicopathologic study of a series of 12 cases. Cardiovasc Pathol. 2022;56:107381.
15. Bruce CJ. Cardiac tumors: diagnosis and management. Heart. 2011;97(2):151-60.
16. Kimura A, Kanzaki H, Izumi C, Miyoshi S, Takeda Y, Yasaka M, et al. A case report of primary cardiac fibroma: an effective approach for diagnosis and therapy of a pathologically benign tumor with an unfavorable prognosis. Eur Heart J Case Rep. 2020;4(4):1-5.
17. Burke AP, Rosado-de-Christenson M, Templeton PA, Virmani R. Cardiac fibroma: clinicopathologic correlates and surgical treatment. J Thorac Cardiovasc Surg. 1994;108(5):862-70.
18. Leja MJ, Perryman L, Reardon MJ. Resection of left ventricular fibroma with subacute papillary muscle rupture. Tex Heart Inst J. 2011;38(3):279-81.
| Files | ||
| Issue | Vol 20 No 2 (2025) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/jthc.v20i2.19710 | |
| Keywords | ||
| Fibroma/Diagnostic Imaging Pericardium/Surgery Abscess Hematoma Histopathology | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Asl Fallah S, Sahebjam M, abbasi kyomars, Shahbazi N, shahi shayan, Shirzad S. Unveiling the Unforeseen: Left Ventricular Fibroma Recurrence or Rare Complication? A Multimodality Imaging Revelation. Res Heart Yield Transl Med. 2025;20(2):154-158.
