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Published on: July 18, 2014
[Very large cardiac tumor revealed by ventricular arrhythmia in a 18-month-old infant]
1Servie de cardiologie pédiatrique, hôpital des Enfants, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 09, France. dulac.y@chu-toulouse.fr
Insights
Pediatric cardiac tumors, though rare, can manifest as arrhythmias. This case highlights an infant with ventricular tachycardia (VT) caused by a left ventricular fibroma, successfully managed with amiodarone.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Pathology
Background:
- Cardiac tumors are uncommon in children.
- Arrhythmias can be the presenting symptom of pediatric cardiac tumors.
Observation:
- An 18-month-old infant presented with ventricular tachycardia (VT).
- Diagnostic imaging revealed a large intramyocardial tumor, suspected to be a left ventricular fibroma.
Findings:
- Amiodarone therapy led to a stable reduction in the infant's VT.
- The tumor was identified as a significant cardiac mass.
Implications:
- Early diagnosis and management of pediatric cardiac tumors are crucial.
- Surgical resection is indicated for tumors causing intracardiac obstruction or intractable arrhythmias.
- Pharmacological management with amiodarone can stabilize ventricular tachycardia in pediatric cardiac fibroma.
Abstract:
Cardiac tumors are rare in childhood and can be revealed by arrhythmias. We report the observation of an 18-month-old infant who had an episode of ventricular tachycardia (VT) which resulted in a large intramyocardic tumour diagnosis evocating a left ventricular fibroma. A treatment by amiodarone allowed a stable reduction of the VT. The presence of an intracardiac obstruction or uncontrollable arrhythmias would lead to a surgical resection.
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