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Published on: November 4, 2015
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.
Abstract:
Cardiac tumors are rare in children, but they are being diagnosed with increasing frequency and great accuracy with wide array of imaging modalities. Cardiac rhabdomyoma and myxoma are the most common tumors in children and adults, respectively. Cardiac hemangiomas comprise about 2.8% of all primary cardiac tumors and fewer than 100 cases have been reported in the literature. We report a successful resection of cardiac hemangioma in the right ventricular outflow tract in an adolescent, presented with moderate to severe obstruction.
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