Asymptomatic cardiac tumor in a child: an incidental diagnosis

Cordinhã, Carolina; Pereira, Ângela; Silva, Patrícia Vaz; Dionísio, Teresa; Martins, Paula; Sousa, Graça; Santos, Isabel; Pires, António; Ribeiro, Lúcia; Castela, Eduardo

doi:10.1016/s2174-2049(11)70028-9

Cited by 2 publications

(9 citation statements)

References 3 publications

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“… 4 , 5 Central calcifications are common findings of fibromas, probably due to reduced blood supply of the tumor. 1 , 2 In the present case, the tumor had small foci of central calcification.…”

Section: Discussionsupporting

confidence: 45%

“…This percentage decreases to 41% between one and 15 years of age. 2 Fibroma represents 14% of cases of benign cardiac tumors, occupying the second place of prevalence according to histological type, most of them being diagnosed in children under one year of age. 2 , 3 …”

Section: Discussionmentioning

confidence: 99%

“… 1 On the other hand, magnetic resonance imaging has a complementary role in providing morphological details of some tumors as well as in assessing myocardial and extracardiac extension and pericardial involvement. 2 …”

Section: Discussionmentioning

confidence: 99%

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Incidental diagnosis of cardiac fibroma in an infant with acute viral bronchiolitis

Pigosso,

Fogiato,

Vieira

et al. 2024

Rev. paul. pediatr.

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Objective: Pediatric cardiac tumors are rare and, among them, 90% are benign. Cardiac fibroma is the second most frequent tumor, after rhabdomyoma. The objective of this study is to report a case of cardiac fibroma diagnosed incidentally in a patient admitted with acute viral bronchiolitis. Case description: A 5-month-old male infant was admitted to the pediatric emergency department with acute viral bronchiolitis requiring hospitalization. He presented a detectable respiratory syncytial virus in oropharyngeal swab, blood test with lymphocytosis and a chest radiography revealed cardiomegaly. Further cardiologic testing was performed detecting elevation of cardiac biomarkers, an electrocardiogram with alteration of left ventricular repolarization and echocardiogram with a heterogeneous mass in the left ventricular, with areas of calcification. A chest angiotomography suggested rhabdomyosarcoma or cardiac fibroma and a magnetic resonance showed a mass, with characteristics suggesting fibroma. The final diagnosis was made after two cardiac catheterizations for biopsy of the lesion, confirming cardiac fibroma by anatomopathological examination. Because the patient had moderate to severe systolic dysfunction, he was submitted to heart transplant. Comments: One third of cardiac fibromas are asymptomatic, generally diagnosed late through tests ordered for other reasons. The gold-standard test for definitive diagnosis is biopsy. Cardiac fibroma usually does not present spontaneous regression and, in most cases, partial or total surgical resection is necessary. When tumors are unresectable, heart transplantation should be indicated. It is essential to have detailed characterization of the cardiac mass to establish the most appropriate therapeutic approach for each patient.

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Section: Discussionsupporting

confidence: 45%

Section: Discussionmentioning

confidence: 99%

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Incidental diagnosis of cardiac fibroma in an infant with acute viral bronchiolitis

Pigosso,

Fogiato,

Vieira

et al. 2024

Rev. paul. pediatr.

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“…Cardiac fibromas are the second most common benign primary tumour of the heart following rhabdomyoma in the children. 1 However, a number of patients with cardiac fibroma are asymptomatic 1 ; the clinical features depend on the size and location and include chest pain, arrhythmia, low cardiac output due to outflow tract obstruction, and sudden cardiac death. 1,2 Furthermore, it is known that sports are associated with an increased risk for sudden death in athletes who are affected by cardiovascular conditions predisposing to life-threatening arrhythmias.…”

mentioning

confidence: 99%

“…1 However, a number of patients with cardiac fibroma are asymptomatic 1 ; the clinical features depend on the size and location and include chest pain, arrhythmia, low cardiac output due to outflow tract obstruction, and sudden cardiac death. 1,2 Furthermore, it is known that sports are associated with an increased risk for sudden death in athletes who are affected by cardiovascular conditions predisposing to life-threatening arrhythmias. 3 We report an asymptomatic 10-year-old boy diagnosed with left ventricular fibroma, who was admitted to our clinic for cardiac examination for competitive sports.…”

mentioning

confidence: 99%

Asymptomatic cardiac tumour with premature ventricular contraction in an athlete: case report

Eriş

Paç

2021

Cardiol Young

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Cardiac fibromas are the second most common benign primary tumour of the heart in the children; the clinical features include chest pain, arrhythmia, low cardiac output due to outflow tract obstruction, and sudden cardiac death. Sports are associated with an increased risk for sudden death in athletes who are affected by cardiovascular conditions predisposing to life-threatening arrhythmias. We present a case report of 10-year-old asymptomatic boy who was referred to the paediatric cardiology department by his general practitioner for cardiac examination before participation in competitive sports. The electrocardiogram showed premature ventricular contractions originated from inferior of left ventricle. A mass was detected by 2D transthoracic echocardiography, and it was found to be compatible with fibroma on MRI. In some cases, cardiac tumours are asymptomatic as in our patient. Electrocardiogram abnormalities require detailed cardiac imaging with echocardiogram, and if necessary CT/MRI. In this article, we emphasise that detailed cardiac examination of individuals before participating in competitive sports is vital.

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Asymptomatic cardiac tumor in a child: an incidental diagnosis

Cited by 2 publications

References 3 publications

Incidental diagnosis of cardiac fibroma in an infant with acute viral bronchiolitis

Incidental diagnosis of cardiac fibroma in an infant with acute viral bronchiolitis

Asymptomatic cardiac tumour with premature ventricular contraction in an athlete: case report

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