Giant Solitary Fibrous Tumor of the Ascending Aortic Wall Causing Reversible Heart Failure: A Case Report and Review of the Literature
-
Published:2023-08-03
Issue:4
Volume:26
Page:E316-E321
-
ISSN:1522-6662
-
Container-title:The Heart Surgery Forum
-
language:
-
Short-container-title:HSF
Author:
Guo Ping,Liu Shichao,Abuheit Ezaldin M.I.,Jia Xingtai,Jian Liguo,Wang Yan
Abstract
A 56-year-old woman was admitted to our hospital with a 2-week history of chest tightness and fatigue, and an echocardiogram revealed a massive polyserous cavity effusion. A massive (13.5 cm maximum diameter) intrapericardial mass was discovered using computed tomography (CT) and cardiovascular magnetic resonance imaging (MRI) in the ascending aortic wall. A pericardial biopsy was performed and diagnosed as a solitary fibrous tumor (SFT). After successful mass resection, an immunohistochemical test was positive for CD34, STAT-6, CD34, and Bcl2, which indicates a giant benign solitary fibrous tumor of the ascending aortic wall. After three years of follow-up, the patient is symptom-free, and histological indications of malignancy were absent. A giant benign solitary fibrous tumor is extremely rare in the heart, especially from the ascending aorta wall, and experience with this tumor location is limited, so close follow-up at regular intervals is considered necessary. We present this case, followed by a literature review on SFTs involving the heart and management approaches.
Publisher
Forum Multimedia Publishing LLC
Subject
Cardiology and Cardiovascular Medicine,Surgery