Complete surgical resection of a primary cardiac fibroma in a 51-year-old woman resulted in no recurrence at 6-month follow-up, preventing severe complications.
Does complete surgical resection safely treat primary cardiac fibroma and prevent recurrence in an adult patient?
Complete surgical resection of a rare primary cardiac fibroma in an adult was safe and effective, with no recurrence at 6 months, highlighting the role of multimodality imaging and surgical management.
Abstract Background Primary cardiac fibroma is a rare benign tumour, accounting for approximately 1% of all primary cardiac tumours in adults. Although histologically benign, it can cause severe complications including arrhythmias, heart failure, and sudden death. Case summary We report a 51-year-old female presenting with chest pain and exertional dyspnea. Transthoracic echocardiography and cardiac magnetic resonance imaging revealed a large intramyocardial mass at the left ventricular apex. The patient underwent complete surgical resection under cardiopulmonary bypass. Histopathology confirmed a primary cardiac fibroma. The postoperative course was uneventful, and the patient remained well at 6-month follow-up without recurrence. Discussion Surgical resection is the treatment of choice for primary cardiac fibroma, preventing life-threatening arrhythmias and hemodynamic compromise. This case highlights the importance of multimodality imaging and role of surgical management.
Long et al. (2025) studied this question. Complete surgical resection of a primary cardiac fibroma in a 51-year-old woman resulted in no recurrence at 6-month follow-up, preventing severe complications.