Primary cardiac fibroma with persistent left superior vena cava in a young adult: Contrast-enhanced CT and 18F-FDG PET/CT finding

A spiral cystic fibroma originating from left ventricular fascicular muscle: a case report

“…From reviewing previous case reports of ventricular fibroma, we found that most cardiac fibromas grow in a round-like shape into the cavity and occupy the cavity volume [ 2 – 4 , 9 , 10 ], the fibroma reported here has a special morphology with a narrow base and the body extending into the left ventricular cavity, which will not only occupy the cavity volume and cause embolism in the systematic circulation by necrosis, but also oscillate in the cavity with the contraction and diastole of the ventricle, it may repeatedly rub against the mitral valve and cause mitral valve fibrosis or embolism, leading to mitral valve stenosis, obstruction or systemic embolism.…”

“…The disease manifestation is not specific or may be asymptomatic. However cardiac fibromas are mostly round in shape [ 2 – 4 ], few cases of other morphology have been reported.…”

Incidental finding of a right ventricular mass: Fibroma or thrombosis?

“…Three of 12 patients were incidentally diagnosed. After surgical management, 1/3 had a recurrence of mass with second successful resection, 1/3 developed mild hypokinesis postsurgery, and 1/3 patient had a successful resection [10 – 12] . Pedunculated single benign tumors are usually resected as they have a lower risk of recurrence [13] .…”

“… [10] 2015 F 34Y Incidentally found RV mass Left occipital infarct Surgical Recurrence with syncope and asymptomatic after second surgery Liu et al. [12] 2020 M 28Y Asymptomatic detected on a regular visit NA Surgical No recurrence or side effect Francis et al. [22] 2021 M 37Y Intermittent chest heaviness Hypertrophic cardiomyopathy NA NA Ikegami et al.…”

“… [11] 2021 F 64Y Incidental finding of RV mass HTN, hyperlipidemia, and arthritis Surgical Mild septal hypokinesis but no recurrence Liu et al. [12] 2021 M 27Y Exertional chest tightness & SOB NA Surgical No recurrence or side effects …”