A Large Cardiac Fibroma Lied in the Interventricular Septum of an Adult with Exertional Pain and Palpitation: A Case Report

AUTHORS

Amirreza Dehghan Tarazjani ORCID 1 , Afsoon Fazlinejad ORCID 2 , * , Alireza Khooei ORCID 3 , Alireza Ghodsi ORCID 1 , Alireza Omranzadeh ORCID 1

1 Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran

2 Division of Cardiovascular Medicine, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, IR Iran

3 Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran

How to Cite: Dehghan Tarazjani A, Fazlinejad A, Khooei A, Ghodsi A, Omranzadeh A. A Large Cardiac Fibroma Lied in the Interventricular Septum of an Adult with Exertional Pain and Palpitation: A Case Report, Int Cardio Res J. 2030 ; 15(1):e107649.

ARTICLE INFORMATION

International Cardiovascular Research Journal: 15 (1); e107649
Published Online: March 31, 2021
Article Type: Case Report
Received: July 17, 2020
Accepted: October 06, 2020
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Abstract

Introduction: Cardiac fibromas are rare primary tumors that mainly affect children
and teenagers and are rarely found in adults. The patients may be asymptomatic or
may present their disease with arrhythmia or even heart failure. However, bizarre
presentations can be found. The present study aimed to report a case of cardiac fibroma
presented with exertional dyspnea and palpitation.
Case Presentation: A 29-year-old Caucasian male presented with the symptoms of
exertional dyspnea and palpitation in the emergency room. Tachycardia was evident in
physical examination and electrocardiography. On the echocardiographic assessment,
a hyperechogenic mass was found in the proximal part of the anterior interventricular
septum with calcified spots and without defined capsules around the mass suggestive
of lipoma or other infiltrative mesenchymal tumors. Cardiac magnetic resonance
assessment with fat suppression mode ruled out lipoma and bolded fibroma diagnosis.
The patient underwent excisional surgery and survived the condition. On pathology and
immunohistochemistry evaluation, the diagnosis of fibroma was confirmed. The patient
survived the surgery with no morbidities. Hemodynamic study revealed no findings
suggestive of heart failure.
Conclusions: Cardiac fibroma is a rare tumor in adults and usually happens in children
under five years old. This condition can be diagnosed in echocardiography and the
subsequent cardiac magnetic resonance imaging. The tumor is usually featured with
central calcification.

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