Dr Abdul-Aziz Qasem Mohammed AL-Ga'adi*

Consultant Cardiac Surgery, Head Department of Cardiac Surgery, Military Cardiac Center, Yemen

*Corresponding Author: Dr Abdul-Aziz Qasem Mohammed AL-Ga'adi,Consultant Cardiac Surgery, Head Department of Cardiac Surgery, Military Cardiac Center, Sana`a.Yemen.

Received: March 29, 2023; Published: April 27, 2023

Abstract

There is a very low prevalence of cardiac tumor (fibroma )in the Younger population. Cardiac fibromas arise from heart fibroblasts, and these tumors are primarily located in the ventricles or in the interventricular septum. Symptomatic tumors are treated by resection. By contrast, asymptomatic tumors require a long‑term follow‑up or surgical resection as a preventive measure to avoid complications. The present study reports the case for Young female patient 25 years old presented with palpitation with pre-syncope for 6 months. ECG showed Sinus rhythm, Echo Showed Elongated mobile Mass attached to the mid part of the IVS swinging in LV, protruded through Left Ventricular Outflow Tract creating transient gradient estimated by 110 mmhg, this mass hits aortic valve leaflets lead to mild regurgitation grade I-II/IV The Mass measured by 29 x 22mm in diameter (Myxomas can't be excluded).

CT Showed LV mass 26 x 20 mm prolapsed to the aortic sinus of valsalva and the aortic root seem adherent to the Left Ventricle wall. After IV contrast these lesion appear hypodense mass with minimal enhancement. The patient underwent surgical excision of the tumor, and Sample sent for histopathological examination that confirmed the diagnosis of a cardiac fibroma. The patient had a good postoperative recovery and was discharged on sixth postoperative day.

Keywords: Cardiac Tumor; Fibroma; Myxomas

Bibliography

1. Ünsal H and Ekici E. “Conservative management of a left ventricle cardiac fibroma in an asymptomatic child patient”. Turk Kardiyoloji Dernegi Arsivi 43 (2015): 481-483.
2. Uzun O., et al. “Cardiac tumours in children”. Orphanet Journal of Rare Diseases 2 (2007): 11.
3. Burke A and Tavora F. “The 2015 WHO classification of tumors of the heart and pericardium”. Journal of Thoracic Oncology 11 (2016): 441-452.
4. Tao TY., et al. “Pediatric cardiac tumors: Clinical and imaging features”. Radiographics 34 (2014): 1031-1046.
5. Cho SH., et al. “Primary cardiac fibroma in an adult”. Case Report on Cardiology (2015): 713702.
6. Stiller B., et al. “Primary cardiac tumours: When is surgery necessary?” European Journal of Cardiothoracic Surgery 20 (2001): 1002-1006.
7. Bruce CJ. “Cardiac tumours: Diagnosis and management”. Heart 97 (2011): 151‑
8. Burke AP., et al. “Cardiac fibroma: Clinicopathologic correlates and surgical treatment”. Journal of Thoracic Cardiovascular Surgery 108 (1994): 862‑
9. Eric S., et al. “Inter‑ventricular septal cardiac fibroma in an adult: MR and MDCT features with pathologic correlation”. European Journal of Radiology Extra 67 (2008): e103‑
10. Cho JM., et al. “Surgical resection of ventricular cardiac fibromas: Early and late results”. Annals of Thoracic Surgery 76 (2003): 1929-1934.

Citation: Dr Abdul-Aziz Qasem Mohammed AL-Ga'adi. “Left Ventricle Primary Cardiac Tumor (Fibroma) in an Younger: A Case Report". Acta Scientific Clinical Case Reports 4.5 (2023): 24-27.

Copyright: © 2023 Dr Abdul-Aziz Qasem Mohammed AL-Ga'adi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.