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Atrial myxomas in young children: an alternative surgical approach
P L Ergina1, G S Kochamba, C I Tchervenkov
1Division of Cardiovascular Surgery, Montreal Children's Hospital, McGill University, Quebec, Canada.
Insights
Right atrial myxomas are more common in children aged five and younger, unlike older individuals. Echocardiography provides essential information for surgical planning and resection of these pediatric heart tumors.
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Cardiovascular Pathology
Background:
- Atrial myxomas are rare primary cardiac tumors.
- Understanding the epidemiology and presentation of myxomas in young children is crucial for timely diagnosis and treatment.
Observation:
- This report details a case of atrial myxoma in a child aged five years or younger.
- A review of existing literature specific to this age group was conducted.
- Right atrial myxomas were found to be predominant in this pediatric cohort.
Findings:
- Echocardiography is sufficient for detailed anatomic assessment, guiding surgical intervention.
- For large left atrial myxomas, a transverse biatrial incision offers optimal exposure.
- En bloc resection is facilitated by wide surgical exposure, minimizing tumor manipulation.
Implications:
- Early diagnosis and appropriate surgical strategy are key for favorable outcomes in pediatric atrial myxomas.
- This case and review highlight the importance of considering myxomas in young children presenting with cardiac symptoms.
- Standardized surgical approaches can improve the safety and efficacy of myxoma resection in pediatric patients.
Abstract:
A case report and a brief review of the literature on atrial myxomas in young children (5 years and younger) are presented. Right atrial myxomas are predominant in this age group in contrast to older children and adults. The echocardiogram alone can provide clear anatomic information for the operation. For large left atrial myxomas, wide exposure through a transverse biatrial incision is recommended to avoid tumor manipulation and facilitate en bloc resection.
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