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Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
Right ventricular myxoma obstructing the pulmonary artery during early childhood
Kiichiro Kumagai1, Sadahiro Sai, Masato Endo
1Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryo-machi, Aoba-ku, Sendai, Japan. kkumagai@mail.tains.tohoku.ac.jp
Insights
A rare right ventricular myxoma in a child caused pulmonary artery obstruction and cardiac arrest. Surgical removal was successful, with the patient recovering fully.
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Pediatric Oncology
Background:
- Primary cardiac tumors are rare in children.
- Right ventricular myxomas are exceptionally uncommon in pediatric patients.
- Early diagnosis and surgical intervention are crucial for managing pediatric cardiac tumors.
Observation:
- A 2-year-old girl presented with a diagnosed right ventricular tumor.
- The tumor caused obstruction of the pulmonary artery, leading to perioperative cardiac arrest.
- The tumor was located in the right ventricular outflow tract.
Findings:
- Successful surgical extirpation of the right ventricular myxoma was performed.
- Cardiopulmonary bypass was initiated to manage the cardiac arrest and facilitate tumor removal.
- The patient experienced an uncomplicated recovery and was discharged on postoperative day 13.
Implications:
- This case highlights the importance of prompt diagnosis and surgical management of rare pediatric cardiac tumors.
- Effective surgical techniques can lead to favorable outcomes even in complex cases with perioperative complications.
- Further research into the etiology and optimal treatment strategies for pediatric cardiac myxomas is warranted.
Abstract:
Primary cardiac tumors are uncommon during infancy and childhood. Myxomas originating in the right ventricle are even less common in pediatric patients. A 2-year-old girl was referred to our hospital under a diagnosis of right ventricular tumor. The aim of the operation was extirpation of the tumor. Perioperative cardiac arrest occurred when the tumor obstructed the pulmonary artery. After promptly establishing cardiopulmonary bypass, the tumor was removed from the right ventricular outflow tract. The patient was discharged on the 13th postoperative day without complications.
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