# A rare morphology of the cardiac fibroma in a child: a case report

## TL;DR

This case report describes a rare heart tumor in a young child with an unusual appearance, diagnosed and treated through surgery.

## Contribution

The novelty lies in documenting a rare morphology of a cardiac fibroma in a child with a distinctive 'string of beads' shape.

## Key findings

- A cardiac fibroma with a unique 'string of beads' morphology was identified in a 2-year and 8-month-old child.
- The mass was successfully resected, and mitral valvuloplasty was performed.
- Pathological analysis confirmed the mass as a cardiac fibroma.

## Abstract

Here we report a rare morphology of a cardiac fibroma in a child. A 2-year and 8-month-old toddler came for “chronic constipation” and was found to have a heart murmur on cardiac auscultation. Further transthoracic echocardiography suggested “a strong echogenic mass in the left ventricular wall, with some part of “a string of beads” in shape extending into left ventricle outflow tract”, which was atypical for either a tumor, thrombus or vegetation. The child underwent resection of the mass and mitral valvuloplasty. Pathological examination confirmed the mass as a cardiac fibroma.