Key result
Surgical excision of a right ventricular fibroma in a 14-year-old boy resulted in complete resolution of ventricular tachycardia and a 6-year event-free survival without tumor recurrence.
Case Report (n=1)
No
Surgical excision of a right ventricular fibroma in a young patient presenting with ventricular tachycardia can result in long-term survival and resolution of arrhythmias.
A right ventricular (RV) tumor manifested by ventricular tachycardia (VT) accompanied by syncopal attacks was found in a 14 year old boy by two-dimensional echocardiography. Surgery was performed on February 10, 1981, with the aid of a cardiopulmonary bypass. The tumor was completely removed as a mass from the anterolateral portion of the RV wall. The wall was closed directly without any patch. The mass was 60 gm in weight and 7 by 4 by 4 cm in size. Fibroma was diagnosed by pathological study. The patient is doing well 6 years postoperatively. We conclude that two-dimensional echocardiography should be used to exclude cardiac tumors such as fibroma in young patients who have VT.
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Kimura et al. (1988) conducted a case report in Right ventricular fibroma associated with ventricular tachycardia (n=1). Surgical excision of right ventricular fibroma was evaluated on Survival and recurrence of tumor or arrhythmia. Surgical excision of a right ventricular fibroma in a 14-year-old boy resulted in complete resolution of ventricular tachycardia and a 6-year event-free survival without tumor recurrence.
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