Abstract
Abstract
Background
Primary cardiac tumors are rare in all age groups and are usually benign. Symptoms are usually related to tumor size, location, invasiveness, number, and growth rate. While histologically benign, cardiac arrest may be caused by blocked inflow or outflow or malignant ventricular arrhythmia. Surgical resection of left ventricular tumors, especially those involving the outflow tract, is challenging.
Case presentation
Herein, we present a rare case of an asymptomatic, 39-year-old woman who was referred to our cardiovascular department for a huge left ventricular cardiac mass incidentally discovered during the physical examination. Images showed a huge mass that quasi-circular low-density focus with a clear boundary and regular shape in the left ventricular cavity and fortunately had no significant effect on the peripheral valves and hemodynamics.
Conclusions
This illustrative report highlights the exact surgical management of a cardiac tumor depends largely on the site and extent of the mass. Mechanical compromise and not the neoplastic potential should be considered. A conservative approach and follow-up regularly are advocated to ensure that the patient gets the best diagnosis and treatment, however, surgery is indicated only for severely symptomatic patients with hemodynamic compromise.
Funder
Natural Science Foundation of Hunan Province
Natural Science Foundation of Changsha City, China
Publisher
Springer Science and Business Media LLC
Subject
Cardiology and Cardiovascular Medicine
Reference17 articles.
1. Careddu L, Oppido G, Petridis FD, Liberi R, Ragni L, Pacini D, Pace Napoleone C, Angeli E, Gargiulo G. Primary cardiac tumours in the paediatric population. Multimed Man Cardiothorac Surg. 2013;2013:mmt013.
2. Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore). 2001;80(3):159–72.
3. Bu H, Gong Y, Xie L. Partial Resection of a Huge Left Ventricle Cardiac Fibroma in an Asymptomatic Child. Ann Thorac Surg. 2019;108(6):e393–5.
4. Huang Z, Sun L, Du M, Ruan Y, Wang H. Primary cardiac valve tumors: early and late results of surgical treatment in 10 patients. Ann Thorac Surg. 2003;76(5):1609–13.
5. Black MD, Kadletz M, Smallhorn JF, Freedom RM. Cardiac rhabdomyomas and obstructive left heart disease: histologically but not functionally benign. Ann Thorac Surg. 1998;65(5):1388–90.
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