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Giant right ventricular fibroma co-existing atrial septal defect in a 15 year old girl

Published online by Cambridge University Press:  19 October 2009

Adel Dimassi*
Affiliation:
Department of Cardiology, Cardiothoracic Center of Monaco, Monte Carlo, Monaco
Wael Dimassi
Affiliation:
Division of Cardiology, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
M. Samir Arnaout
Affiliation:
Division of Cardiology, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
*
Correspondence to: Adel Dimassi MD, Department of Internal Medicine, Division of Cardiology, American University of Beirut-Medical Center, P.O. Box 11-0236, Riad El Solh 1107 2020, AUB. Box: A19-Beirut, Lebanon. Tel: 961 1 374 374 Ext. 5425; Fax: 961 1 370 814; E-mail: adimassi@hotmail.com

Abstract

The most common benign cardiac tumours are the myxomas, the rhabdomyomas, and the fibromas, with the latter 2 variants being the most common tumours encountered in children. The size and location of tumours within the heart create a variety of clinical findings, such as murmurs, chest pain, tachyarrythmias, and congestive cardiac failure. Nowadays, the tumours are usually diagnosed by echocardiography, magnetic resonance imaging and cardiac catheterization. Surgical excision is the treatment of choice if the tumour causes either arrhythmia or cavitary obstruction. In this report, we describe a giant ventricular fibroma co-existing with an atrial septal defect in a girl aged 15 years.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2009

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References

1.Lin, TY, Chiu, KM, Chen Chien, Y, Wang, MJ, Chu, SH. Diagnosis in oncology, unusual sites of metastatic involvement. J Clin Oncol 2004; 22: 11531156.Google Scholar
2.Ohashi, T, Asakura, T, Sakamoto, N, Shimizu, H, Yoshida, T. Case report: Giant cardiac fibroma. Ann Thorac Surg 2006; 82: 15121513.CrossRefGoogle ScholarPubMed
3.Dulac, Y, Plat, G, Taktak, A, et al. Very large cardiac tumor revealed by ventricular arrhythmia in a 18-month-old infant. Arch Pédiatr 2006; 13: 14161419.CrossRefGoogle Scholar
4.Paraskevaidis, IA, Triantafilou, K, Karatzas, D, Kremastinos, DT. Right ventricular multiple myxomas obstructing right ventricular outflow tract. J Thorac Cardiovasc Surg 2003; 126: 913914.CrossRefGoogle ScholarPubMed
5.Parmley, LF, Salley, RK, Williams, JP, Head, GB 3rd. The clinical spectrum of cardiac fibroma with diagnostic and surgical considerations: non-invasive imaging enhances management. Ann Thorac Surg 1988; 45: 455465.CrossRefGoogle Scholar
6.De Cobelli, F, Esposito, A, Mellone, R, et al. Late enhancement of a left ventricular cardiac fibroma assessed with gadolinium-enhanced cardiovascular magnetic resonance. Circulation 2005; 112: e242e243.CrossRefGoogle ScholarPubMed
7.Natarajan, P, Vijayanagar, RV, Ecstein, PF, Bognolo, DA, Toole, JC. Right atrial myxoma with atrial septal defect: A case report and review of the literature. Cathet Cardiovasc Diagn 1982; 8: 267272.CrossRefGoogle ScholarPubMed
8.Williams, DB, Danielson, GK, McGoon, DC, Feldt, RF, Edwards, WD. Cardiac Fibroma: Long term survival after excision. J Thorac Cardiovasc Surg 1992; 84: 230236.CrossRefGoogle Scholar