Surgical resection of primary cardiac fibroma of the left ventricle in an adult woman: case report

Primary cardiac fibroma is a rare benign tumour, accounting for ∼1% of all primary cardiac tumours in adults. Although histologically benign, it can cause severe complications including arrhythmias, heart failure, and even sudden death.

We report a 51-year-old female presenting with chest pain and exertional dyspnoea. Transthoracic echocardiography and cardiac magnetic resonance imaging revealed a large intramyocardial mass at the left ventricular apex. The patient underwent complete surgical resection under cardiopulmonary bypass. Histopathology confirmed a primary cardiac fibroma. The postoperative course was uneventful, and the patient remained well at 6-month follow-up without recurrence.

Surgical resection is the treatment of choice for primary cardiac fibroma, preventing life-threatening arrhythmias and haemodynamic compromise. This case highlights the importance of multimodality imaging and the role of surgical management.