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Large right ventricular fibroma in a 6-month-old infant
Alice Horovitz1, Irene E van Geldorp, François Roubertie
1Department of Congenital Heart Disease, Bordeaux University Hospital, 1, Avenue de Magellan, 33600, Pessac, France.
Insights
A pediatric cardiac fibroma in a 6-month-old girl caused ventricular tachycardia, successfully managed with amiodarone. Surgical resection at age 3 resolved right ventricular outflow tract obstruction, with an uneventful recovery.
Area of Science:
- Pediatric Cardiology
- Cardiac Oncology
- Cardiovascular Surgery
Background:
- Cardiac fibromas are rare benign tumors in children.
- Right ventricular fibromas can cause significant hemodynamic compromise.
Observation:
- A 6-month-old infant presented with a large cardiac fibroma in the right ventricle.
- The tumor was associated with ventricular tachycardia.
Findings:
- Ventricular tachycardia was initially managed successfully with amiodarone.
- Tumor progression at age 3 led to right ventricular outflow tract obstruction.
- Surgical resection of the cardiac fibroma was performed successfully.
Implications:
- Early diagnosis and management of pediatric cardiac tumors are crucial.
- Multidisciplinary approach involving cardiology and surgery is essential for optimal outcomes.
- Complete resection of cardiac fibromas can lead to favorable long-term prognosis.
Abstract:
This report describes the case of a 6-month-old girl with a large cardiac fibroma in the right ventricle. Ventricular tachycardia associated with the fibroma was successfully treated with amiodarone. At the age of 3 years, surgical resection was indicated because of right ventricular outflow tract obstruction caused by progression of the tumor. The fibroma was successfully resected, and further follow-up evaluation was uneventful.
