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Giant cardiac fibroma: an unusual cause of failure to thrive
Susanne Navarini1, Philipp Latzin, Alexander Kadner
1Division of Pediatric Cardiology, University Children's Hospital of Berne, Berne, Switzerland.
Insights
Pediatric cardiac fibromas are rare tumors that can cause failure to thrive. Surgical removal of a right ventricular cardiac fibroma led to catch-up growth in a 14-month-old infant.
Area of Science:
- Pediatric Cardiology
- Pediatric Oncology
Background:
- Cardiac fibromas are rare tumors in children.
- They can present with varied symptoms, including arrhythmias and sudden death.
Observation:
- A 14-month-old boy presented with failure to thrive.
- Echocardiography revealed a large cardiac fibroma in the right ventricle.
- Cardiac MRI confirmed the diagnosis.
Findings:
- Complete surgical resection of the cardiac fibroma was successful.
- The patient experienced normal catch-up growth post-surgery.
Implications:
- Cardiac tumors should be considered in the differential diagnosis of pediatric failure to thrive.
- Early diagnosis and treatment are crucial for favorable outcomes in pediatric cardiac tumors.
Abstract:
Cardiac fibromas are extremely rare in the general pediatric population and may present with a wide spectrum of clinical signs, including life-threatening arrhythmias and sudden death. We report a 14-month-old boy who presented with failure to thrive as the only symptom. Echocardiography showed a large cardiac fibroma in the right ventricle. Cardiac magnetic resonance imaging confirmed the diagnosis. After complete surgical tumor resection, the boy showed normal catch-up growth. This case underlines the diversity of clinical features of cardiac tumors, which implies that they should be considered early in the differential diagnosis of infants with failure to thrive.
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