Infant heart tumour

Epifânio, Pedro; Amaral, Maria Emanuel; Noronha, Natália; Francisco, Andreia; Rodrigues, Dírcea; Pires, António; Castela, Eduardo

doi:10.1016/j.repc.2017.02.019

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“…29 Several patients have accidental diagnoses but even these can present with symptoms later in life or electrocardiographic abnormalities. [30][31][32] A large heterogeneous solid mass observed echocardiographically (Fig 3) strongly suggests this tumour type, but the most pathognomonic sign is the existence of central calcification on CT. 7 The calcification occurs because of lack of blood supply to the mass, hence related to ischaemic changes. At cardiac magnetic resonance, in relation to the myocardium, it appears as hypo to isointense on T1 and hypointense on T2-weighted images (Fig 4).…”

Section: Fibromasmentioning

confidence: 99%

Cardiac tumours in children: a single-centre experience and literature review

2022

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Cardiac tumours are extremely rare in children. Although more than 90% are benign, children can develop obstructive or embolisation derived symptoms, arrhythmias, constitutional symptoms, cardiac tamponade, or even sudden death. Although the majority are asymptomatic, and some spontaneously regress, appropriate follow-up is needed on a case-by-case basis, as patients may develop late symptoms. Definitive diagnosis is only possible through histological analysis; however, it is possible to infer tumour type with a high grade of certainty based on imaging features, particularly cardiac magnetic resonance. Surgical resection is advocated for those causing symptoms, obstruction, cardiac dysfunction, and high risk of embolisation. The aim of this review is to present the state of the art related to cardiac tumours in the paediatric population, in the context of our own experience.

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