Fibroma Presenting with Ventricular Tachycardy and Long-term Follow up

Abstract

Primer cardiac tumors are rare in childhood. Seventy percent of all cardiac tumors are rhabdomyomas, followed by teratomas, hemangiomas and fibromas. Cardiac tumors can cause chest pain, dyspnea, syncope and arrhythmias dependent on their location. Cardiac fibromas generally persist, rarely spontaneous regression of cardiac fibromas has been reported. This article presents a case of symptomatic cardiac fibroma presented with ventricular tachycardia and her long term follow. Echocardiography revealed a cardiac tumor measuring 7x3 cm in size and extending from apical segment of the interventricular septum. The features of tumor was verified with cardiac MRI, and histopathological examination revealed a cardiac fibroma. Because of the size and localisation of the tumor, only surgical biopsy could be done. The patient was followed with antiarrhythmic treatment and spontaneous resolution of the arrhythmia was documented in the long-term follow up.