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Right ventricular fibroma in a 61-year-old man

M Krane1, R Bauernschmitt, B Voss

  • 1Department of Cardiovascular Surgery, German Heart Center, Munich, Germany. krane@dhm.mhn.de

The Thoracic and Cardiovascular Surgeon
|August 12, 2009
PubMed

Insights

A man with known coronary heart disease developed new T-wave changes. Diagnosis revealed parvovirus B19 myocarditis and a right ventricular fibroma, successfully resected.

Area of Science:

  • Cardiology
  • Virology
  • Pathology

Background:

  • A 61-year-old male with a history of coronary heart disease presented with new T-wave abnormalities.
  • The patient had no prior symptoms of heart failure despite known coronary artery disease.

Observation:

  • Endomyocardial biopsies revealed chronic parvovirus B19-associated myocarditis.
  • Cardiac magnetic resonance imaging identified a significant mass in the right ventricle.

Findings:

  • The right ventricular mass measured 6 x 3 x 3 cm.
  • Histopathology confirmed the mass as a benign fibroma.
  • Surgical resection via cardiopulmonary bypass was successful.

Implications:

  • This case highlights the rare co-occurrence of parvovirus B19 myocarditis and cardiac fibroma.
  • Early diagnosis and complete surgical removal are crucial for favorable outcomes.
  • Further research into the pathogenesis of viral-associated cardiac tumors is warranted.

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