Surgical Resection of a Giant Left Ventricular Fibroma Causing Palpitations in a Young Woman.

BACKGROUND

Primary cardiac tumors are rare, and fibromas-benign fibrous tumors of the myocardium-are exceedingly uncommon in adults. Although labeled benign, they may cause arrhythmia, obstructive symptoms, heart failure, or sudden death. Complete surgical resection remains the treatment of choice to alleviate symptoms and prevent complications.

CASE SUMMARY: We report the case of a 20-year-old woman presenting with progressive shortness of breath and palpitations. Cardiac imaging revealed a large intramyocardial mass consistent with left ventricular fibroma. Surgical resection was performed, and the mass was enucleated in its entirety. The postoperative course was uneventful, and the patient was discharged on postoperative day 5. Histopathology confirmed fibroma with no malignant features.

DISCUSSION: This case highlights successful surgical management of a rare left ventricular fibroma in an adult. Early recognition and complete resection are essential for symptomatic relief and to prevent complications.

TAKE-HOME MESSAGES: Left ventricular fibromas, although rare, can cause significant symptoms in young adults. Prompt diagnosis and proper surgical enucleation provide safe and effective treatment.