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Left ventricular myxoma in a child: a case report
1Pediatric Cardiology, Military Hospital (Cardio Thoracic Centre), Golibar Maidan, Pune 411040, Maharashtra, India. drprabhat_cardio@yahoo.co.in
Summary
Left ventricular myxoma, a rare tumor, was identified in a 12-year-old girl. Surgical removal was successful, resolving her syncope episodes.
Area of Science:
- Cardiology
- Pediatric Oncology
Background:
- Left ventricular myxomas are exceptionally rare cardiac tumors.
- Myxomas in pediatric patients are exceedingly uncommon, with no prior reports in this specific location.
Observation:
- A 12-year-old female presented with syncope.
- A cardiac murmur was detected on examination.
- Transthoracic echocardiography revealed a 18x30 mm pedunculated mass in the left ventricle, originating from the interventricular septum.
Findings:
- The left ventricular myxoma obstructed the left ventricular outflow tract during systole.
- The tumor's projection through the aortic valve likely caused the syncope by reducing cardiac output.
Implications:
- This case highlights the possibility of left ventricular myxoma in children presenting with syncope.
- Complete surgical excision via a transmitral approach is an effective treatment.
- Early diagnosis and intervention are crucial for managing pediatric cardiac tumors.
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