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Massive biatrial myxomas in a child
A M Cilliers1, H van Unen, S Lala
1Division of Pediatric Cardiology, Baragwanath Hospital and The University of the Witwatersrand, P.O. Bertsham Johannesburg, 2013 South Africa.
Pediatric Cardiology
|February 13, 1999
Insights
Pediatric cardiac myxomas are rare, especially biatrial tumors. This case highlights an 8-year-old boy with massive biatrial myxomas presenting with acute cardiogenic shock.
Area of Science:
- Cardiology
- Pediatric Oncology
- Cardiovascular Surgery
Background:
- Cardiac myxomas are typically benign primary heart tumors, most common in adults.
- Pediatric cardiac myxomas are exceptionally rare, posing diagnostic challenges.
- Biatrial location of cardiac myxomas is uncommon across all age groups.
Observation:
- An 8-year-old boy presented with acute cardiogenic shock.
- No prior cardiac symptoms were reported in the patient.
- Massive biatrial tumors were identified as the cause of the presentation.
Findings:
- The patient was diagnosed with massive biatrial cardiac myxomas.
- The presentation of acute cardiogenic shock in a child due to cardiac myxomas is highly unusual.
- This case underscores the potential for cardiac myxomas to cause severe, acute cardiovascular compromise.
Implications:
- Early recognition of cardiac myxomas in children is crucial, even without prior symptoms.
- Biatrial myxomas require prompt surgical consideration due to the risk of acute hemodynamic compromise.
- This case expands the understanding of rare pediatric cardiac tumors and their clinical manifestations.
Abstract:
Cardiac myxomas are rarely diagnosed in children, and biatrial tumors are an unusual presentation in any age group. An 8-year-old boy with massive biatrial cardiac myxomas, who presented in acute cardiogenic shock with no preceding cardiac symptomatology, is reported.