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Neonatal aortic arch obstruction due to pedunculated left ventricular foetal myxoma

Published online by Cambridge University Press:  15 October 2014

Renate Kaulitz*
Affiliation:
Division Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Germany
Susanne Haen
Affiliation:
Division Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Germany
Ludger Sieverding
Affiliation:
Division Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Germany
*
Correspondence to: Dr R. Kaulitz, MD, Division Pediatric Cardiology and Pediatric Intensive Care Medicine, Tuebingen University Children’s Hospital, Hoppe-Seyler Str. 1, D-72076 Tuebingen, Germany. Tel: +49 7071 2984711; Fax: +49 7071 295693; E-mail: renate.kaulitz@med.uni-tuebingen.de

Abstract

Myxoma in neonatal life are extremely rare. We report a case of a neonate with a pedunculated cardiac tumour arising from the anterolateral left ventricular wall protruding across the left ventricular outflow tract and continuously extending into the distal aortic arch. Surgical removal at 14 days of age via combined transaortic approach and apical ventriculotomy was indicated because of the risk of further compromise of aortic valve function and aortic arch obstruction. Histopathologic examination was consistent with a myxoma.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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