Cardiac fibroma: Clinicopathologic correlates and surgical treatment

Right Ventricular Reconstruction After Resection of Cardiac Fibroma

“…It typically presents during childhood and patients have a mean age at operation of 11-18 years. 1,4,6 The knowledge pertaining to surgical management of cardiac fibromas in adults is limited to case reports and reviews of the literature. 7,8 Cardiac fibromas can occur in the atria, interventricular septum, or ventricle.…”

“…4 In these cases, subtotal resection may be the more appropriate option and this has also been shown to yield satisfactory late outcomes with resolution of symptoms and arrhythmias. 1,4,12 While recurrence of cardiac myxoma is a recognized entity, 3 there are no reported cases of fibroma recurrence requiring reoperation. In our case, despite the initial debulking procedure, the patient developed new symptoms relating to a recurrence of RV inflow tract obstruction.…”

“…A final therapeutic option is that of cardiac transplantation. 1,14 This should be reserved for complex fibromas where excision would cause irreparable damage to myocardial structures. 4,15 Surgical resection is recommended in symptomatic patients.…”

Cardiac Fibromas in the Adult

“…Cardiac fibroma is a rare and benign cardiac tumor that occurs primarily in infants and children. 1 It usually presents as a large, solitary, and intramural mass. 2 Patients with cardiac fibromas can be asymptomatic for a long time or present with congestive heart failure, sudden death, or arrhythmias.…”

“…2 Patients with cardiac fibromas can be asymptomatic for a long time or present with congestive heart failure, sudden death, or arrhythmias. 1,3 Surgical resection of the tumors is usually successful, and their postoperative prognosis is favorable. This report describes a case of a cardiac fibroma arising in an adult and reviews the literature on this subject.…”