Large Left Ventricular Fibroma: Case Report and Literature Review

Anwar, Ahmed S; Salem, Mahmoud I; Beltagy, Ragab; Madi, K.; Elwatidy, Ahmed M F

doi:10.1177/1556984520917139

Cited by 3 publications

(2 citation statements)

References 8 publications

(11 reference statements)

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“…The average age at diagnosis is 13 years with nearly a third of patients being less than one year of age at presentation. However, only 15% of fibromas are detected in adults or the elderly [ 122 ]. They are noncapsulated solitary masses located in the myocardium, most commonly in the LV free wall (about 57%), followed by RV free wall (28%), interventricular septum (17%), and rarely involving the atria [ 121 ].…”

Section: Benign Cardiac Primary Cardiac Tumor ( Table 1 ...mentioning

confidence: 99%

Multimodality Imaging of Benign Primary Cardiac Tumor

Gao

et al. 2022

Diagnostics

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Primary cardiac tumors (PCTs) are rare, with benign PCTs being relatively common in approximately 75% of all PCTs. Benign PCTs are usually asymptomatic, and they are found incidentally by imaging. Even if patients present with symptoms, they are usually nonspecific. Before the application of imaging modalities to the heart, our understanding of these tumors is limited to case reports and autopsy studies. The advent and improvement of various imaging technologies have enabled the non-invasive evaluation of benign PCTs. Although echocardiography is the most commonly used imaging examination, it is not the best method to describe the histological characteristics of tumors. At present, cardiac magnetic resonance (CMR) and cardiac computed tomography (CCT) are often used to assess benign PCTs providing detailed information on anatomical and tissue features. In fact, each imaging modality has its own advantages and disadvantages, multimodality imaging uses two or more imaging types to provide valuable complementary information. With the widespread use of multimodality imaging, these techniques play an indispensable role in the management of patients with benign PCTs by providing useful diagnostic and prognostic information to guide treatment. This article reviews the multimodality imaging characterizations of common benign PCTs.

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Section: Benign Cardiac Primary Cardiac Tumor ( Table 1 ...mentioning

confidence: 99%

Multimodality Imaging of Benign Primary Cardiac Tumor

Gao

et al. 2022

Diagnostics

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“…3 Pediatric cardiac fibromas account for 12-16% of diagnosed primary cardiac tumors in children and follow rhabdomyoma (40-60%) and teratoma (15-19%) in incidence. 1,4 Primary cardiac tumors in children most commonly arise from the right ventricle (19%), with size, location, histologic subtype, and rate of growth serving as principal determinants of both symptomatology and resection candidacy. 5 While the presence of symptoms has been challenged as a determinant of survival, symptomatology is considered the principal indication for surgery in the setting of defined resectability or perceived efficacy of tumor debulking.…”

Section: Introductionmentioning

confidence: 99%

Multi-Disciplinary Management and Surgical Resection of Intracardiac Fibromas Causing Bilateral Ventricular Outflow Tract Obstructions in an Infant

Stone

Albertz

Galambos

et al. 2022

Semin Cardiothorac Vasc Anesth

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Cardiac tumors remain rare in children with benign pathologies predominating. Indications for surgical management often result from compromised ventricular chamber size, biventricular outflow tract obstruction, impaired ventricular function, or the presence of medically refractory dysrhythmias. We present a case of a six-month-old infant with two intracardiac fibromas originating in the interventricular septum. The fibromas were causing significant biventricular outflow obstruction. The patient successfully underwent tumor resection on cardiopulmonary bypass The literature on pediatric cardiac tumors is reviewed. Multi-disciplinary medical planning is necessary for successful anesthetic and surgical treatment of this high-risk patient population.

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