[Very large cardiac tumor revealed by ventricular arrhythmia in a 18-month-old infant]

Y Dulac1, G Plat, A Taktak

  • 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.