Obstructive right ventricular outflow tract hemangioma in an adolescent

Jayendra Sharma1, Daphne Hsu, Samuel Weinstein

  • 1Division of Pediatric Cardiology and Cardiothoracic Surgery, Department of Pediatrics, Children Hospital at Montefiore, Bronx, N.Y., USA. jsharma@jhmc.org

Insights

Pediatric cardiac hemangiomas, rare tumors, can cause significant obstruction. This study details a successful surgical removal of a right ventricular outflow tract hemangioma in an adolescent patient.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Oncology
  • Diagnostic Imaging

Background:

  • Cardiac tumors are uncommon in pediatric populations, with rhabdomyomas being most frequent.
  • Cardiac hemangiomas represent a small fraction (2.8%) of primary cardiac tumors, with limited reported cases.
  • Advancements in imaging enhance the diagnosis of pediatric cardiac masses.

Observation:

  • A case of cardiac hemangioma in the right ventricular outflow tract of an adolescent patient is presented.
  • The tumor caused moderate to severe obstruction of blood flow.
  • This specific location and presentation are unusual for cardiac hemangiomas.

Findings:

  • Successful surgical resection of the cardiac hemangioma was achieved.
  • The adolescent patient experienced relief from the obstructive symptoms post-surgery.
  • This case adds to the limited literature on cardiac hemangiomas, particularly in the pediatric age group.

Implications:

  • Highlights the importance of considering rare cardiac tumors like hemangiomas in pediatric patients with obstructive symptoms.
  • Demonstrates the feasibility and success of surgical intervention for right ventricular outflow tract hemangiomas.
  • Emphasizes the role of accurate diagnostic imaging in identifying and characterizing these rare pediatric cardiac neoplasms.