A spiral cystic fibroma originating from left ventricular fascicular muscle: a case report

BMC Surg. 2022 May 10;22(1):163. doi: 10.1186/s12893-022-01616-w.

Abstract

Background: In adults, cardiac fibromas are fairly rare, mostly round in shape, and few cases of ventricular fibromas of other morphology have been reported.

Case presentation: We report a case of a 47-year-old male patient admitted with recurrent nocturnal paroxysmal dyspnea, diagnosed by transthoracic cardiac ultrasound, transesophageal ultrasound, and computed tomography (CT) as a left ventricular occupancy with a spiral shape resembling a conch with a fixed base and a free distal end.

Conclusion: This case reports a rare but noteworthy morphological features of the adult uncommon ventricular tumor pathological type. Furthermore, the patient had no notable postoperative issues and was followed up on for a year following surgery, with no residual tumors or arrhythmias discovered during the examination.

Keywords: Adults; Cardiac fibroma; Left ventricular; Surgical treatment; Tumor morphology.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Echocardiography
  • Fibroma* / diagnostic imaging
  • Fibroma* / surgery
  • Heart Neoplasms* / diagnostic imaging
  • Heart Neoplasms* / surgery
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / surgery
  • Humans
  • Male
  • Middle Aged
  • Muscles / pathology