Conservative management of left ventricle cardiac fibroma in an adult asymptomatic patient

Conservative management of a left ventricle cardiac fibroma in an asymptomatic child patient

“…[12] On the other hand, careful long-term follow-up adopting the conservative approach may be preferred because of the risk of surgery. [13] In our case, although the tumor mass was large, the patient was asymptomatic. We decided to do follow-up with conservative modalities, and in the 6 years of this process it has continued without any problems.…”

Right Ventricular Reconstruction After Resection of Cardiac Fibroma

“…Furthermore, operation is favored in patients with enlarging tumors to prevent progressive cardiac deformity and valvular dysfunction . However, there have been reported cases where an asymptomatic tumor was monitored without long‐term sequalae or interval growth of the tumor . These cases may represent a more indolent variety of the condition and it appears that the natural course of cardiac fibromas is poorly defined .…”

“…However, there have been reported cases where an asymptomatic tumor was monitored without long‐term sequalae or interval growth of the tumor . These cases may represent a more indolent variety of the condition and it appears that the natural course of cardiac fibromas is poorly defined . In light of the excellent reported results in adults and the potential for fatal arrhythmias, our preference is to resect these tumors even in asymptomatic patients.…”

The Role of Three‐Dimensional Echocardiography in Interventricular Mass Evaluation

“…Although benign, they are clinically important as they may present with syncope, heart failure, cyanosis, inflow and outflow obstruction, or sudden death. Surgical treatment is advocated even in asymptomatic cases . While not invasive, cardiac fibromas do not have a distinct capsule and they can entrap islands of myocardium, giving the impression of local infiltration .…”

“…Surgical treatment is advocated even in asymptomatic cases. 7,8 While not invasive, cardiac fibromas do not have a distinct capsule and they can entrap islands of myocardium, giving the impression of local infiltration. 2 Often, the complexity of resection and reconstruction procedures seems at high risk or unfeasible and could alter the ventricular geometry or mitral valve function.…”