Giant fibroma of left ventricular apex with T wave inversion: 2 cases report and literature review
10.3760/cma.j.cn101721-20220908-000413
- VernacularTitle:左心室心尖部巨大纤维瘤合并T波倒置2例并文献复习
- Author:
Haixia JIN
1
;
Chen MENG
;
Yu HUANG
;
Yue GUO
;
Ming LIU
;
Juan XIA
;
Qingfeng XIONG
;
Handong ZHU
Author Information
1. 武汉科技大学医学院附属武汉亚洲心脏病医院心内科，武汉 430022
- Keywords:
Cardiac tumor, Ventricular apical;
Cardiac fibroma, T-wave inversion
- From:
Clinical Medicine of China
2023;39(1):1-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical features, diagnostic methods and treatments of left ventricular apical fibroma.Methods:The clinical manifestations, ECG, imaging features and treatment plans of 2 patients with giant fibroma of left ventricular apex diagnosed in September 2020 and May 2022 were analyzed retrospectively, and the related literature was reviewed.Results:Both patients had slight chest distress and discomfort after activities. The ECG showed T-wave inversion of different degrees, which were misdiagnosed as “myocarditis” and “coronary heart disease” respectively. The cardiac magnetic resonance imaging and echocardiography showed left ventricular apical mass. Coronary artery stenosis was not found in coronary angiography. One patient required conservative treatment, and there was no significant change in clinical symptoms and tumor size in the follow-up for half a year; Another patient underwent cardiac mass removal, and the pathological examination after operation confirmed that it was cardiac fibroma, and there was no recurrence in the follow-up 2 years.Conclusion:Fibroma of left ventricular apex is a rare cardiac tumor, which is easy to be missed and misdiagnosed, and is one of the rare causes of T-wave inversion. Cardiac magnetic resonance imaging, CT and echocardiography are commonly used imaging methods to diagnose cardiac fibroma, and surgical resection is an effective treatment.
