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June 19, 2026JACC Case Reports0 citationsOpen Access

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

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SSSameh M. SaidMGMohamed A. GabrHFHazem M. Fouda

Key Result

Surgical resection of a giant left ventricular fibroma in a 20-year-old woman was successfully performed, leading to an uneventful recovery and discharge on postoperative day 5.

Key Points

  • This report focuses on the management of a rare left ventricular fibroma causing significant symptoms in a young woman.
  • Cardiac imaging identified a large intramyocardial mass consistent with left ventricular fibroma.
  • Complete surgical resection of the fibroma was performed, followed by histopathological confirmation of the diagnosis.
  • Postoperative monitoring documented an uneventful recovery, with discharge on postoperative day 5.
  • Histopathology confirmed the presence of a benign fibroma with no malignant features.
  • The patient's symptoms, including shortness of breath and palpitations, were resolved post-surgery.
  • Surgical intervention provided effective treatment, preventing potential complications associated with the fibroma.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 20-year-old woman presenting with progressive shortness of breath and palpitations who underwent surgical resection of a giant left ventricular fibroma.
I
Intervention
Surgical resection (complete enucleation)
O
Outcome
Postoperative course and histopathology

Complete surgical resection of a rare left ventricular fibroma in a young adult is safe and effective for alleviating symptoms.

Abstract

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.

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Cite This Study

Said et al. (2026) conducted a case report in Left ventricular fibroma (n=1). Surgical resection was evaluated. Surgical resection of a giant left ventricular fibroma in a 20-year-old woman was successfully performed, leading to an uneventful recovery and discharge on postoperative day 5.

synapsesocial.com/papers/6a359b3cdd3be7785e70ee34https://doi.org/10.1016/j.jaccas.2026.108908
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