PMC9880885_01
Electrocardiogram at presentation shows a wide complex tachycardia with VA dissociation at 270 bpm with a RBBB pattern, negative complexes in the inferior leads (II, III and aVF) and left sided leads (I, VL, V4-6) suggesting a more apical origin near the free wall of the left ventricle.
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Chest radiograph depicting a slightly enlarged cardiac silhouette.
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A chest radiograph showed an enlarged cardiac silhouette (Fig. 2) and the patient was admitted for further management.
a,b: Echocardiography with a parasternal long axis view and of left ventricular free wall fibroma(fibroma outlined in white).
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Epstein Barr Virus, Human Rhinovirus and SARS CoV2. Echocardiogram images demonstrated a left ventricular (LV) mass along the free wall of the left ventricle extending to the apex and a small pericardial as well as a right pleural effusion (Fig. 3).
Cardiac magnetic resonance imaging depicting a left ventricular free wall fibroma.
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The mass was further delineated on a cardiac magnetic resonance imaging(MRI) scan that showed a 22x 52 mm mass with a distinct separation between the mass and the LV muscle, suggestive of fibroma. (Fig. 4).