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

Published online by Cambridge University Press:  23 June 2011

Marta T. António ,
Andrew J. Powell  and
Pedro J. del Nido
Marta T. António*
Affiliation:
Department of Cardiology, Children's Hospital, Coimbra, Portugal
Andrew J. Powell
Affiliation:
Department of Cardiology, Children's Hospital Boston, and the Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, United States of America
Pedro J. del Nido
Affiliation:
Department of Cardiac Surgery, Children's Hospital Boston, and the Department of Surgery, Harvard Medical School, Boston, Massachusetts, United States of America
*
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: marta.antonio@gmail.com
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Abstract

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.

Keywords

Primary paediatric cardiac tumourcardiac fibromapresyncopemagnetic resonance imagingsurgical resection
Type
Brief Reports
Information
Cardiology in the Young , Volume 21 , Issue 5 , 09 September 2011 , pp. 595 - 597
Copyright
Copyright © Cambridge University Press 2011

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References

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 1480–1495.Google Scholar
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: 1358–1363.CrossRefGoogle ScholarPubMed
3.Kiaffas, MG, Powell, AJ, Geva, T. Magnetic resonance imaging evaluation of cardiac tumor characteristics in infants and children. Am J Cardiol 2002; 89: 1229–1233.CrossRefGoogle ScholarPubMed
4.Stiller, B, Hetzer, R, Meyer, R, et al. Primary cardiac tumors: when is surgery necessary? Eur J Cardiothorac Surg 2001; 20: 1002–1006.CrossRefGoogle ScholarPubMed
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: 493–496.CrossRefGoogle ScholarPubMed
6.Stratemann, S, Dzurik, Y, Fish, F, Parra, D. Left ventricular cardiac fibroma in a child presenting with ventricular tachycardia. Pediatr Cardiol 2008; 29: 223–226.CrossRefGoogle Scholar
7.Cho, JM, Danielson, GK, Puga, FJ, et al. Surgical resection of ventricular cardiac fibromas: early and late results. Ann Thorac Surg 2003; 76: 1929–1934.CrossRefGoogle ScholarPubMed
8.Freedom, RM, Lee, KJ, MacDonald, C, Taylor, G. Selected aspects of cardiac tumors in infancy and childhood. Pediatr Cardiol 2000; 21: 299–316.CrossRefGoogle ScholarPubMed
9.Burke, A, Virmani, R. Pediatric heart tumors. Cardiovasc Pathol 2008; 17: 193–198.CrossRefGoogle ScholarPubMed
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: 521–524.CrossRefGoogle Scholar