case_images: PMC11135903_01
case_images: Chest radiography in posteroanterior view (A) demonstrating enlargement of the cardiac silhouette. Echocardiogram (B) showing a heterogeneous mass.
case_images: 1984-0462-rpp-42-e2022157-gf01.jpg
case_images: PMC11135903_01_1984-0462-rpp-42-e2022157-gf01.jpg
case_images: f1
case_images: Chest radiography showed an enlargement of the cardiac silhouette (Figure 1). Echocardiogram showed a heterogeneous mass, measuring 52x38 mm, on the lateral wall of the LV, with areas of calcification, preserving the LV inflow and outflow tract (Figure 1).
case_images: Cardiac angiotomography (A) and cardiac magnetic resonance imaging (B and C), in the 4-chamber (A and B) and 2-chamber short axis (C) views, demonstrating a large expansive lesion in the apicobasal anterolateral wall of the left ventricle (LV), with reduction of left ventricular volume, small foci of central calcifications (*in A), extracardiac extension (**in C) and pericardial effusion (PE in A-C).
case_images: 1984-0462-rpp-42-e2022157-gf02.jpg
case_images: PMC11135903_01_1984-0462-rpp-42-e2022157-gf02.jpg
case_images: f2
case_images: T2-weighted images showed a mild myocardial hypersignal and markedly delayed contrast uptake (>10 minutes) (Figure 2).
case_images: Macroscopic findings, on the anterior surface (A), posterior surface (B) and cross-sectional cut (C), demonstrating a single, solid, non-encapsulated, white, firm, fibrous tumor involving the left ventricle (LV), reaching its anterior wall (*), but preserving the aortic valve (**) and aorta (Ao). There is absence of necrosis or hemorrhage.
case_images: 1984-0462-rpp-42-e2022157-gf03.jpg
case_images: PMC11135903_01_1984-0462-rpp-42-e2022157-gf03.jpg
case_images: f3
case_images: Anatomy and histopathological findings of the surgical specimen confirmed the diagnosis of cardiac fibroma (Figures 3 and 4).
case_images: Histopathological findings in hematoxylin-eosin (HE) reveal spindle cell neoplasm of the heart, with infiltrative growth pattern at the margins (HE, 10x) (A). Spindle cells have no atypia, and are arranged in a collagenous background, without evidence of mitosis (HE, 40x) (B).
case_images: 1984-0462-rpp-42-e2022157-gf04.jpg
case_images: PMC11135903_01_1984-0462-rpp-42-e2022157-gf04.jpg
case_images: f4
case_images: Anatomy and histopathological findings of the surgical specimen confirmed the diagnosis of cardiac fibroma (Figures 3 and 4).