Stepwise surgical approach to left ventricular fibroma

Cardiac fibromas are rare benign myocardial tumours, most commonly detected in infants and children. Presentations in adolescents are uncommon but clinically significant due to the associated arrhythmic risk. We report a case of a young female who presented with syncope and was subsequently diagnosed with a left ventricular fibroma on cardiac magnetic resonance imaging (MRI). The tumour was located near the papillary muscles. Surgical excision was performed via a left ventriculotomy, carefully avoiding distortion of the mitral valve. This video tutorial demonstrates the surgical approach to an left ventricular fibroma, a definitive treatment aimed at mitigating the life-threatening arrhythmogenic risks associated with these tumours, while preserving the mitral valve.