Successful excision of a right ventricular fibroma associated with ventricular tachycardia. Report of a six year survival.

Abstract

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.