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Tex Heart Inst J. 2014 Jun 1;41(3):329-31. doi: 10.14503/THIJ-13-3270. eCollection 2014.

Cardioverter-defibrillator implantation to treat cardiac fibroma-induced ventricular tachycardia in a 70-year-old woman.

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  • Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona 85255.


Benign cardiac fibroma is rarely reported in adults. Its clinical symptoms are related to outflow obstruction or dysrhythmias. We present the case of a 70-year-old woman who had a syncopal episode from ventricular tachycardia caused by cardiac fibroma. Because of unfavorable tumor anatomy, the patient was not a candidate for surgical excision, and she declined orthotopic heart transplantation. To prevent sudden cardiac death, we placed an implantable cardioverter-defibrillator, and the patient remained well throughout the 2-year follow-up period. To our knowledge, this is the first report of implantable cardioverter-defibrillator therapy to treat an adult patient's unresectable cardiac fibroma.


Adult; cardioverter-defibrillators, implantable/therapy/utilization; fibroma/diagnosis/pathology; tachycardia, ventricular/etiology; treatment outcome

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