Rare Case of Hamartoma Mimicking Fibroma and Correlations with LiteratureEliana Migliorini Mustafa1, Victor Rodrigues Ribeiro Ferreira1, Sofia Braile Sabino1, Maria Christiane Valéria Braga Braile-Sternieri1, Rodrigo Serpa Sestito1, João Carlos Leal1, Bethina Canaroli Sbardellini1, Giovanni Braile Sternieri1, Lúcia Angélica Buffulin de Faria1, Idiberto José Zotarelli Filho1,2* and Domingo Marcolino Braile1
- *Corresponding Author:
- Prof. Dr. Idiberto José Zotarelli Filho
Domingo Braile Institute of Sao Jose do Rio Preto (SP), Brazil
Tel: + 55 (17) 3203-4039, +55(17) 8166-6537
E-mail: [email protected]
Received date: December 19, 2016; Accepted date: January 29, 2017; Published date: January 31, 2017
Citation: Mustafa EM, Ferreira VRR, Sabino SB, Braile-Sternieri MCVB, Sestito RS, et al. (2017) Rare Case of Hamartoma Mimicking Fibroma and Correlations with Literature. J Clin Exp Cardiolog 8:497. doi: 10.4172/2155-9880.1000497
Copyright: © 2017 Mustafa EM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: The incidence of primary cardiac tumors ranges from 0.02 to 0.05% in autopsy studies. Hamartomas from mature cardiac myocytes do not present a predilection for age at detection and present a higher prevalence in the left ventricle with the advent of extracorporeal circulation and the advancement of image diagnostic medicine such as echocardiography, computed tomography and magnetic resonance imaging, diagnosis and surgical treatment became more feasible.
Objective: To present the case report of a very rare HA with diagnosis by clinical correlation, imaging equipment and microscopy, in order to differentiate it from fibroma.
Case: A 63-year-old female patient with a history of chest pain and dyspnea on exertion with progressive worsening six months ago. The echocardiogram presented apical akinesia with an intramyocardial fibro-calcified mass, presenting an intense local coronary vascularization, with a dilated epicardial coronary artery at the tip with 5.0 mm, where the intramyocardial vessels that irrigate the tumor of the apical region originate. A superficial myocardial bridge was visualized by MRI in the middle segment of aDA. The patient underwent endomyocardial biopsy with a suggestive result of Hamartoma of mature cardiac myocytes.
Conclusion: Despite the diverse range of cardiac neoplasms, heart tumors are very rare, even more so as the apical Hamartoma and confused with fibroma presented in the present work.