Echocardiography and Vascular Ultrasound Centre, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Pathology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Cardiovasc J Afr. 2024;35(1):64-66. doi: 10.5830/CVJA-2023-007. Epub 2023 Mar 3.
Cardiac fibromas are benign tumours of the heart and are composed of fibroblasts and collagen. They are one of the most common cardiac tumours encountered in children and adolescents but are rare in adults.
The patient was a 57-year-old man who presented, complaining of a two-year history of chest tightness at rest. Transthoracic echocardiography revealed a severely calcified mass protruding from the anterior wall of the right ventricle near the apex. The patient was referred for tumour resection. Postoperative histopathological examination identified the calcified mass to be a cardiac fibroma. The patient's postoperative recovery was unremarkable and he was discharged eight days after surgery. During follow up, he has been free from any troublesome symptoms.
Pre-operative diagnosis using various imaging modalities and early surgery are key to optimising the prognosis of patients with a cardiac fibroma.
心脏纤维瘤是心脏的良性肿瘤，由成纤维细胞和胶原组成。它们是儿童和青少年中最常见的心脏肿瘤之一，但在成年人中很少见。
患者为 57 岁男性，因休息时胸闷两年就诊。经胸超声心动图显示一严重钙化的肿块从右心室前壁近心尖处向外突出。患者被转诊进行肿瘤切除。术后组织病理学检查确定钙化肿块为心脏纤维瘤。患者术后恢复良好，术后 8 天出院。随访期间，他无任何不适症状。
术前使用各种成像方式进行诊断和早期手术是优化心脏纤维瘤患者预后的关键。
