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Left ventricular fibroma causing atypical chest pain.
Mukesh Goel1, Rajneesh Malhotra, Vijay Kohli
1Escorts Heart Institute and Research Centre, New Delhi, India.
Asian Cardiovascular & Thoracic Annals
|September 30, 2003
Summary
A large cardiac fibroma was successfully removed from a 29-year-old man presenting with chest pain and exertional angina. This case highlights surgical excision as an effective treatment for left ventricular fibromas.
Area of Science:
- Cardiovascular Medicine
- Cardiac Surgery
- Oncology
Background:
- Cardiac tumors are rare, with fibromas being a common benign type, particularly in younger individuals.
- Left ventricular masses can present with diverse symptoms, including chest pain and angina, mimicking ischemic heart disease.
- Accurate diagnosis and surgical management are crucial for improving patient outcomes.
Observation:
- A 29-year-old male presented with a 3-year history of atypical chest pain and a 3-month history of exertional angina.
- Imaging revealed a large, homogenous mass in the apicolateral region of the left ventricle.
- The mass measured and weighed 78g.
Findings:
- Surgical excision of the left ventricular mass was performed successfully.
- Histopathological analysis confirmed the mass to be a cardiac fibroma.
- The patient's symptoms resolved post-operatively.
Implications:
- This case underscores the importance of considering cardiac tumors in the differential diagnosis of unexplained chest pain and angina.
- Complete surgical resection is curative for cardiac fibromas, offering significant symptom relief and preventing potential complications.
- Further research into the long-term outcomes and optimal surveillance strategies for cardiac fibroma patients is warranted.