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Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
A case report of right ventricular mass
1Department of Cardiology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh. dr_gobinda@yahoo.com
Mymensingh Medical Journal : MMJ
|October 20, 2010
Summary
A rare right ventricular myxoma caused significant obstruction in a 3-month-old infant, leading to heart failure symptoms. This case highlights the importance of early diagnosis for pediatric cardiac tumors.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Pathology
Background:
- Primary cardiac tumors are rare in children.
- Right ventricular myxomas are exceptionally uncommon in pediatric patients.
Observation:
- A 3-month-old infant presented with respiratory distress and malnutrition.
- Physical examination revealed a heart murmur and cardiomegaly on chest X-ray.
- Echocardiography identified an 11x10mm mass in the right ventricle.
Findings:
- The right ventricular mass dynamically obstructed outflow and compressed the left ventricle.
- Tricuspid regurgitation (Grade 2) and moderate pulmonary hypertension (PASP-50 mmHg) were observed.
- The tumor's size and location caused significant hemodynamic compromise.
Implications:
- Early diagnosis and surgical intervention are crucial for managing pediatric cardiac myxomas.
- This case underscores the need for thorough cardiac evaluation in infants with unexplained respiratory symptoms.
- Understanding the presentation of rare pediatric cardiac tumors aids in timely and effective treatment strategies.
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