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Feng Z, Philipson D, Uzzell JP, Stein-Merlob A, Yang EH, Middlekauff HR, Lau RP, Fishbein GA, Bradfield JS, Ajijola OA. A Case of Ventricular Tachycardia Caused by a Rare Cardiac Mesenchymal Hamartoma. JACC Case Rep 2020; 2:1049-1055. [PMID: 34317413 PMCID: PMC8302110 DOI: 10.1016/j.jaccas.2020.04.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 04/19/2020] [Accepted: 04/28/2020] [Indexed: 06/13/2023]
Abstract
The presentation of a cardiac hamartoma, an exceedingly rare and histologically benign cardiac tumor, can be variable. We describe a case of refractory ventricular tachycardia in a patient with a cardiac mass failing multiple pharmacologic and procedural interventions, ultimately treated by cardiac transplantation and diagnosed with a mesenchymal cardiac hamartoma. (Level of Difficulty: Intermediate.).
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Affiliation(s)
- Zekun Feng
- Division of Cardiology, Department of Medicine, UCLA Medical Center, Los Angeles, California
| | - Daniel Philipson
- Division of Cardiology, Department of Medicine, UCLA Medical Center, Los Angeles, California
| | - Jamar P. Uzzell
- UCLA Department of Pathology and Laboratory Medicine, UCLA Health, Los Angeles, California
| | - Ashley Stein-Merlob
- Division of Cardiology, Department of Medicine, UCLA Medical Center, Los Angeles, California
| | - Eric H. Yang
- Division of Cardiology, Department of Medicine, UCLA Medical Center, Los Angeles, California
- Cardio-Oncology Program, Division of Cardiology, Department of Medicine, University of California-Los Angeles, Los Angeles, California
| | - Holly R. Middlekauff
- Division of Cardiology, Department of Medicine, UCLA Medical Center, Los Angeles, California
| | - Ryan P. Lau
- UCLA Department of Pathology and Laboratory Medicine, UCLA Health, Los Angeles, California
| | - Gregory A. Fishbein
- UCLA Department of Pathology and Laboratory Medicine, UCLA Health, Los Angeles, California
| | - Jason S. Bradfield
- Division of Cardiology, Department of Medicine, UCLA Medical Center, Los Angeles, California
- Cardio-Oncology Program, Division of Cardiology, Department of Medicine, University of California-Los Angeles, Los Angeles, California
| | - Olujimi A. Ajijola
- Division of Cardiology, Department of Medicine, UCLA Medical Center, Los Angeles, California
- Cardio-Oncology Program, Division of Cardiology, Department of Medicine, University of California-Los Angeles, Los Angeles, California
- UCLA Cardiac Arrhythmia Center, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California
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