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Large cardiac fibroma and teratoma in children- case reports
Neerod Kumar Jha1, Laszlo Kiraly2, Csaba Tamas3
1Division of Paediatric Cardiac Surgery, Sheikh Khalifa Medical City (managed by Cleveland Clinic), PO Box-51900, Karamah Street, Abu Dhabi, United Arab Emirates. njha@skmc.ae.
Insights
Paediatric cardiac tumours, though rare, differ from adult types. This study highlights two infant cases (fibroma and teratoma) requiring surgical removal, emphasizing early detection and potential cardiac remodeling for healing.
Area of Science:
- Pediatric Cardiology
- Cardiac Oncology
- Congenital Heart Disease
Background:
- Primary cardiac tumours are rare in children, with distinct types and frequencies compared to adults.
- Most paediatric cardiac neoplasms are benign, yet early detection is crucial for effective management.
- Understanding these tumours aids in diagnosing common paediatric symptoms and improving patient outcomes.
Abstract:
Primary cardiac tumours in paediatric population are an unusual occurrence. Although, majority of such tumours are benign (90%), the frequency and type of cardiac tumours in this age group is different from the adult population. There are several consecutive series published in the last decade on cardiac neoplasms. Therefore, this is not only an effort to contribute to the existing literature for better understanding and management of similar patients but also to highlight the importance of early detection either by prenatal imaging or careful evaluation of differential diagnosis of common symptoms. We herein, describe two infants with large cardiac tumours (fibroma and teratoma) both arising from the interventricular septum and underwent surgical excision. A possible role of cardiac remodeling in myocardial tissue healing after extensive tissue resection in such patients is hypothesised through available experimental or limited clinical information.

