To present the surgical management of a left ventricular tumor mass in a 23 year old man who presented with angina, shortness of breath, and unable to work for 8 months.

Detail of pre-operative work-up including Echocardiograms, CAT and MRI scans as well as a coronary angiogram are presented. The tumor mass seemed protruding into the left ventricular (LV) cavity as a space occupying lesion. The important technical aspects of the procedure including resection by enucleation without entering the left ventricular cavity (LV) and its repair in layers to preserve LV cavity integrity and apex are shown.

By using cardiopulmonary bypass and blood cardioplegia, sharp dissection of the LV tumor mass (a 5 x 6 cm Fibroma) was possible. Post-operative echocardiograms show restoration of LV volume and apex. The patient is presently asymptomatic and has been working full-time for over one year since this operation.

Left ventricular tumors are rarely encountered. Prediction of their pathology and degree of invasiveness are frequently determined during the procedure. Alterations in the planned procedures are made after direct cardiac inspection.