A rare case of ventricular tachycardia caused by an intramyocardial fibroma with successful surgical resection in an adult

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dc.contributor.authorBinder, M. Scotten
dc.contributor.authorRoby, Matthewen
dc.contributor.authorChancellor, Williamen
dc.contributor.authorYarboro, Leoraen
dc.contributor.authorArnold, Scotten
dc.contributor.authorHodge, Kyleen
dc.contributor.authorKern, Johnen
dc.contributor.authorSane, Daviden
dc.date.accessioned2024-09-19T19:45:01Zen
dc.date.available2024-09-19T19:45:01Zen
dc.date.issued2024-09-05en
dc.description.abstractBackground: Cardiac fibromas are extremely rare in adults. The preferred treatment is surgical resection, but antiarrhythmic medications or heart transplantation have also been used previously. The cardiac imaging, particularly MRI, can be useful to help delineate between primary cardiac tumors, and surgical factors such as the extent/size of the fibroma, involvement of the coronary arteries or mitral apparatus and amount of residual myocardium influence whether surgical resection is feasible. Case presentation: A 42-year-old male presented with a wide-complex tachycardia, unresponsive to amiodarone. An echocardiogram was performed which showed a possible posterior wall mass. A cardiac MRI showed a well circumscribed lateral wall intracardiac fibroma, measuring 5.2 × 5.1 × 3.8 cm with preserved function. Surgical resection was successful, and he was discharged without a defibrillator. Conclusions: Cardiac fibromas are encapsulated tumors which do not infiltrate myocardium and should be surgically resected if possible.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier515 (Article number)en
dc.identifier.doihttps://doi.org/10.1186/s13019-024-02986-3en
dc.identifier.eissn1749-8090en
dc.identifier.issn1749-8090en
dc.identifier.issue1en
dc.identifier.otherPMC11376031en
dc.identifier.other10.1186/s13019-024-02986-3 (PII)en
dc.identifier.pmid39238037en
dc.identifier.urihttps://hdl.handle.net/10919/121166en
dc.identifier.volume19en
dc.language.isoenen
dc.publisherSpringeren
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/39238037en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectCardiac fibromaen
dc.subjectCardiothoracic surgeryen
dc.subjectMultimodality imagingen
dc.subjectVentricular tachycardiaen
dc.subject.meshHumansen
dc.subject.meshFibromaen
dc.subject.meshHeart Neoplasmsen
dc.subject.meshTachycardia, Ventricularen
dc.subject.meshMagnetic Resonance Imagingen
dc.subject.meshEchocardiographyen
dc.subject.meshAdulten
dc.subject.meshMaleen
dc.titleA rare case of ventricular tachycardia caused by an intramyocardial fibroma with successful surgical resection in an adulten
dc.title.serialJournal of Cardiothoracic Surgeryen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherJournal Articleen
dc.type.otherCase Reportsen
dc.type.othercase-reporten
dcterms.dateAccepted2024-08-13en
pubs.organisational-groupVirginia Techen
pubs.organisational-groupVirginia Tech/Faculty of Health Sciencesen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicineen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicine/Internal Medicineen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicine/Internal Medicine/Cardiologyen

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