Cardiac fibroma is an infrequent benign tumor in adults [2]. Sometimes, necrosis and cystic degeneration may be observed in this tumor [3,4]. Echocardiography is regarded as the preferred inspection method in general owing to the accessibility and non-invasion [2]. In addition, both CT and magnetic resonance imaging (MRI) could provide tumor localization, and identify tissue characterization and surrounding structure [2,3]. In addition, MRI can provide additional functional data. Therefore, Furthermore, cardiac MRI could further reveal the underlying pathological mechanisms and evaluate hemodynamic effects [5].

In our case, the tumor originated from the right ventricle myocardium and was nourished by the distal left anterior descending artery branch.On the whole, the calcified cardiac fibroma is firm and presented with smooth yellowish surface.

The severity of clinical manifestations depends on their position and size [4]. Cardiac fibroma hardly ever subsides naturally and surgical resection needs consideration in symptomatic patients [5-8]. Asymptomatic individuals require a long-range arrange and surgical operation as a prevention method to avoid complications [5]. In this case, the symptomatic individual received total surgical resection.