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Updated: Jul 18, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
A calcified cardiac mass
Insights
This case study highlights a rare adult cardiac fibroma, a benign heart tumor. Surgical removal resolved symptoms, confirming fibroma as a treatable cause of cardiac masses.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Cardiac fibromas are rare benign tumors, typically diagnosed in children.
- Adult presentation is uncommon, often mimicking other cardiac conditions.
Observation:
- A middle-aged woman presented with exertional chest pain and dyspnea.
- Imaging revealed a heavily calcified myocardial mass, initially suspected as a hematoma due to prior chest trauma.
Findings:
- Surgical excision of the mass was performed.
- Histological examination confirmed the diagnosis of cardiac fibroma.
- Complete symptom resolution was achieved post-surgery.
Implications:
- This case underscores the importance of considering cardiac fibroma in adult patients with cardiac masses.
- Complete surgical excision is the recommended treatment, offering excellent prognosis.
- Early diagnosis and intervention are crucial for managing cardiac fibromas.
Abstract:
Cardiac fibromas are benign tumours, often diagnosed in childhood, but rarely they may be diagnosed in adults or the elderly. We present an interesting case of a middle-aged lady presenting with exertional chest pain and breathlessness, who was found to have a heavily calcified mass within the myocardium. With a previous history of chest trauma, a calcified myocardial haematoma was initially suspected. Complete surgical excision led to a total resolution of symptoms. Histological examination confirmed the diagnosis of a cardiac fibroma. Complete excision of cardiac fibromas, where possible, is advised and is associated with excellent survival.
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