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Published on: November 4, 2015
A Mass Causing Right Ventricular Outflow Obstruction - A Dreadful Complication
1Institute of Medical Education and Research Advanced Cardiac Center Department of Cardiothoracic and Vascular Surgery Chandigarh India Department of Cardiothoracic and Vascular Surgery, Advanced Cardiac Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Pediatric rhabdomyomas, the most common heart tumors in children, can obstruct blood flow. This case highlights the surgical excision of a right ventricular outflow tract mass in a two-year-old experiencing failure to thrive.
Area of Science:
- Pediatric Cardiology
- Cardiac Oncology
- Congenital Heart Disease
Background:
- Rhabdomyomas are the most frequent primary cardiac tumors in pediatric patients.
- These tumors typically arise within the ventricles, often involving the septum or free wall.
- Obstruction of cardiac inflow or outflow tracts by tumors can cause severe complications in infants.
Abstract:
The most common cardiac tumour in the pediatric age group is rhabdomyoma. These are usually located in the ventricles, either in the ventricular septum or free wall. Cardiac tumours in early infancy may lead to severely compromised blood flow due to inflow or outflow tract obstruction. The diagnosis of cardiac rhabdomyoma can be established by transthoracic echocardiography (TTE). Rhabdomyomas have a natural history of spontaneous regression; surgical intervention is reserved for patients with symptoms of severe obstruction or hemodynamic instability. In this study, a case of two-year old child who presented with failure to thrive and underwent excision of pedunculated mass from the right ventricular outflow tract was reported.
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