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Ann Thorac Surg 2001;71:1673-1675
© 2001 The Society of Thoracic Surgeons

Case report

Left ventricular hamartoma associated with ventricular tachycardia

Minh H.T Dinh, BAa, Joseph M Galvin, MDb, Thomas H Aretz, MDc, David F Torchiana, MDa,*

a Division of Cardiac Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA
b Division of Electrophysiology, Massachusetts General Hospital, Boston, Massachusetts, USA
c Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA

Accepted for publication July 10, 2000.

* Address reprint requests to Dr Torchiana, Department of Cardiac Surgery, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114 (Email: dtorchiana{at}partners.org).

Cardiac hamartomas are a rare type of benign tumor affecting the heart. We describe a 33-year-old patient who presented with a wide complex tachycardia. Diagnostic imaging revealed a mass in the patient’s left ventricular wall, near the apex of the heart. The mass was surgically resected and appeared benign. Its pathology was that of a hamartoma of mature cardiac myocytes. Postoperative electrophysiology evaluation showed no inducible focus and the patient remains alive and asymptomatic after 2 years of follow-up.




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