Successful Therapy of Fibroma Induced Ventricular Tachycardia in an Adult Patient

Christos Graidis ² Dimokritos Dimitriadis ² Konstantinos Giannakakis ¹ Eustathia Argiropoulou ² Ioannis Bostanitis ³ Afroditi Tsiakou ² Georgios Dimitriadis ¹ Georgios Tsinopoulos ¹

¹Cardiology Department, General Hospital of Serres
²Interventional Cardiology Department, Kyanous Stavros Hospital
³Cardiology Department, General Hospital of Katerini

This case report discusses a twenty-two-years-old woman presenting at the emergency department of our institution with two episodes of syncope from which she recovered spontaneously. After thorough clinical assessment and imaging we diagnosed cardiac fibroma in the left ventricle. The episodes of the syncope were a result of ventricular tachycardia that was induced by the primary benign tumor. The surgical resection of the tumor was not possible due to its extensive and complicated vascularity.To prevent sudden cardiac death an ICD was introduced.

Figure 1: ECG (limbs) at the arrival in the ER Figure 2: ECG (precordial) at the arrival in the ER Figure 3: Limbs ECG at the time of the admission in the Figure 4: Precordial ECG at the time of the admission in the Figure 5: Cardiac monitoring during cardioversion Figure 6: Echocardiography imaging after cardioversion Figure 7: Echocardiography detection and imaging of the fibroma Figure 8: cardiac MR demonstrating the fibroma Figure 9: same patient, antero-posterior view