Resection of a large fibroma of the interventricular septum

Cardiac fibromas are known to be rare and have a mostly benign nature. Despite their benign histopathology, fibromas may become clinically significant by exerting compression or inflow-outflow occlusion, considering their size and location. Therefore, the risks for malignant arrythmias, especially ventricular tachycardia, syncope and sudden cardiac deaths increase significantly. Given their possible arrhythmogenic nature, surgical resection of cardiac fibromas remains the definitive treatment to tackle these fatal complications. We present surgical management of a young adult female patient with a large interventricular fibroma causing multiple episodes of ventricular tachycardia and syncope.