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

Amirreza Dehghan Tarazjani; Afsoon Fazlinejad; Alireza Khooei; Alireza Ghodsi; Alireza Omranzadeh

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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

Author(s):

Amirreza Dehghan Tarazjani

¹,

Afsoon Fazlinejad

^2,*,

Alireza Khooei

³,

Alireza Ghodsi

¹,

Alireza Omranzadeh

¹

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

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

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

International Cardiovascular Research Journal:Vol. 15, issue 1; e107649

Published online:Mar 31, 2021

Article type:Case Report

Received:Jul 17, 2020

Accepted:Oct 06, 2020

How to Cite:Amirreza Dehghan TarazjaniAfsoon FazlinejadAlireza KhooeiAlireza GhodsiAlireza OmranzadehA Large Cardiac Fibroma Lied in the Interventricular Septum of an Adult with Exertional Pain and Palpitation: A Case Report.Int Cardiovasc Res J.15(1):e107649.

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.

Keywords

Tumor

MRI

Arrhythmia

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