Skip to main content Accessibility help

Successful surgical excision of a large left ventricular fibroma in a child

  • Marta T. António (a1), Andrew J. Powell (a2) and Pedro J. del Nido (a3)


Primary cardiac tumours in children are rare. Despite the majority of these tumours being benign, they may cause blood flow obstruction, ventricular dysfunction, and life-threatening arrhythmias. We present a case of a 4-year-old boy with repeated presyncope episodes in whom we found a large left ventricular fibroma. Our case emphasises that surgical resection is safely feasible even with large fibromas, avoiding cardiac transplantation in childhood.


Corresponding author

Correspondence to: M. T. António, Serviço de Cardiologia, Hospital Pediátrico de Coimbra – CHC, EPE, Avenida Bissaya Barreto, 3000-076 Coimbra, Portugal. Tel: 00351 239480364; Fax: 00351 239717216; E-mail:


Hide All
1.Marx, GR, Moran, AM. Cardiac Tumors. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds.) Moss and Adams’ Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adults, 7th edn. Lippincott Williams & Wilkins, Philadelphia, 2008, pp 14801495.
2.Padalino, MA, Basso, C, Milanesi, O, et al. Surgically treated primary cardiac tumors in early infancy and childhood. J Thorac Cardiovasc Surg 2005; 129: 13581363.
3.Kiaffas, MG, Powell, AJ, Geva, T. Magnetic resonance imaging evaluation of cardiac tumor characteristics in infants and children. Am J Cardiol 2002; 89: 12291233.
4.Stiller, B, Hetzer, R, Meyer, R, et al. Primary cardiac tumors: when is surgery necessary? Eur J Cardiothorac Surg 2001; 20: 10021006.
5.Atallah, J, Robertson, M, Rebeyka, IM, Dyck, J, Noga, ML. Antenatal diagnosis and successful surgical removal of a large right ventricular fibroma. Pediatr Cardiol 2006; 27: 493496.
6.Stratemann, S, Dzurik, Y, Fish, F, Parra, D. Left ventricular cardiac fibroma in a child presenting with ventricular tachycardia. Pediatr Cardiol 2008; 29: 223226.
7.Cho, JM, Danielson, GK, Puga, FJ, et al. Surgical resection of ventricular cardiac fibromas: early and late results. Ann Thorac Surg 2003; 76: 19291934.
8.Freedom, RM, Lee, KJ, MacDonald, C, Taylor, G. Selected aspects of cardiac tumors in infancy and childhood. Pediatr Cardiol 2000; 21: 299316.
9.Burke, A, Virmani, R. Pediatric heart tumors. Cardiovasc Pathol 2008; 17: 193198.
10.Aravot, DJ, Banner, NR, Madden, B, et al. Primary cardiac tumours – is there a place for cardiac transplantation? Eur J Cardiothorac Surg 1989; 3: 521524.



Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed