Left Ventricular Fibroma Presenting as Syncope and Ventricular Tachycardia

• Published in: Echocardiography (Mount Kisco, N.Y.) Vol. 30; no. 7; pp. E195 - E197
• Main Authors: Joly, Joanna M., Fuisz, Anthon R., Weissman, Gaby
• Format: Journal Article
• Language: English
• Published: United States 01-08-2013
• Subjects: Adult; cardiac imaging; cardiac magnetic resonance imaging; cardiac tumor; Diagnosis, Differential; Echocardiography, Three-Dimensional - methods; Female; Fibroma - complications; Fibroma - diagnostic imaging; Heart Neoplasms - complications; Heart Neoplasms - diagnostic imaging; Heart Ventricles - diagnostic imaging; Humans; left ventricular mass; Syncope - diagnosis; Syncope - etiology; Tachycardia, Ventricular - diagnostic imaging; Tachycardia, Ventricular - etiology; TEE; three‐dimensional transesophageal echocardiography; cardiac tumor; TEE; cardiac magnetic resonance imaging; left ventricular mass; cardiac imaging; three-dimensional transesophageal echocardiography
• ISSN: 0742-2822; 1540-8175
• DOI: 10.1111/echo.12204

Cardiac fibromas represent the second most common benign cardiac mass seen in the pediatric population, but they are rarely seen in adults. Given their large size and unpredictable location within the heart, patients may present with varying symptomatology, and in many cases, the initial presentation is sudden death. Both echocardiography and magnetic resonance imaging are critical to the early diagnosis and prompt treatment of these potentially dangerous primary tumors. We report a 29‐year‐old woman presenting with syncope and ventricular tachycardia. She was found to have a 5.0 cm inferoapical left ventricular fibroma, which was successfully resected.
Mini‐
Cardiac fibromas represent the second most common benign cardiac mass seen in the pediatric population, but they are rarely seen in adults. Given their large size and unpredictable location within the heart, patients may present with varying symptomatology, and in many cases, the initial presentation is sudden death. Both echocardiography and magnetic resonance imaging are critical to the early diagnosis and prompt treatment of these potentially dangerous primary tumors. We report a 29‐year‐old woman presenting with syncope and ventricular tachycardia. She was found to have a 5.0 cm inferoapical left ventricular fibroma, which was successfully resected.