Primary Heart Tumors in Infancy and Childhood Report of Four Cases and Review of Literature

Schmaltz, A. A.; Apitz, J

doi:10.1159/000173224

Cited by 31 publications

(10 citation statements)

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“…2 Although the presence of a single intracardiac tumor statistically suggests rhabdomyoma (cardiac hamartoma) in the newborn, multiplicity of tumors allows one to more definitively diagnose rhabdomyoma, and additionally sug· gests the syndrome of tuberous sclerosis.…”

Section: Discussionmentioning

confidence: 99%

“…Although myxomas are the most common (50 per cent) of cardiac tumors over all age groups, they are virtually nonexistent in the neonatal period and there are only six reported cases in the less than 10-year-old group. 2 In the 1-to 15-year-old group, rhabdomyomas, fibromas, myxomas, and teratomas constitute the differential diagnosis in order of frequency, rhab- other evidence of the syndrome may be sought out. specifically central nervous system tumors, white matter heterotopias, subependymal nodules, various cerebral dysplasias.…”

Section: Discussionmentioning

confidence: 99%

“…There has been only one previously described case of cardiac tumor diagnosed in utero, 1 though neonatal diagnosis of this entity has been reported more frequently. 2 Although the presence of a single intracardiac tumor statistically suggests rhabdomyoma (cardiac hamartoma) in the newborn, multiplicity of tumors allows one to more definitively diagnose rhabdomyoma, and additionally sug· gests the syndrome of tuberous sclerosis.…”

Section: Discussionmentioning

confidence: 99%

“…Primary benign intracardiac tumors in the infant are unusual, occurring with an incidence of one in 5,000 to one in 10,000 random autopsies. 2 Primary malignant cardiac tumors are distinctly rare, comprising less than 10 per cent of all tumors of the heart and pericardium. 3 In the neonatal period, and until one year of age, 75 per cent of all tumors and cysts of the heart and pericardium are rhabdomyomas (58.3 per cent) and teratomas (18.8 per cent).…”

Section: Discussionmentioning

confidence: 99%

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The echocardiographic diagnosis of multiple fetal cardiac tumors.

Dennis¹,

Appareti²,

Manco-Johnson³

et al. 1985

Journal of Ultrasound in Medicine

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Fetal cardiac evaluation by two-dimensional and time-motion echocardiography has been possible for some time, and with present technology has been proven to give exquisite definition of fetal cardiac anatomy. In the following report, the diagnosis and localization of multiple fetal intracardiac tumors illustrates the capabilities of current ultrasound technique and technology. REPORT OF A CASEA 23-year-old gravida 3, para 2, woman noticed decreased fetal movement two weeJ.. --s prior to delivery and consulted her physician who found the fetu s to be tachycardic and the fundal height to be greater than expected for dates . . The patient was referred to the University of Colorado Health Sciences Center for an ultrasound examination which revealed a vertex singleton with a biparietal diameter of 8 em, head circumference of 28 em, abdominal diameter of9.5 em, abdominal circumference of28 em, and femur length of5.9 em, consistent with a gestational age of 31.5 weeks. In addition to polyhydramnios, there was marked fetal hydrops with ascites, pleural effusions, and skin edema. Fetal heart rate was over 200 beats per minute (bpm) and regular. Fetal cardiac examination showed two solid 1.2-cm-diameter eclmgenic intracardiac masses, one originating from the right side of the interventricular septum near the tricuspid valve and the other involving the mitral valve below the aortic root. Both atria, atrioventricular valves, and semilunar valves appeared to be normal. The left and right ventricles were normal in size and wall thickness.Because of the fetal supr.lVentricular tachycardia with accompanying polyhydramnios and fetal hydrops, the mother and infant underwent digitalization, but premature labor prevented the pregnancy from reaching term. The infant was delivered and by physical exam and previous ultrasonography was considered to be a 32-week gestation. The infant was grossly edematous and no dermatologic or optic fundal abnormalities were appreciated. The chest film was normal and an electrocardiogram showed supraventricular tachycardia of the Wolf-Parkinson-White variety.The neonatal eclmcardiogram confirmed the -in utero diagnosis of tumors immediately adjacent to the atrioventricular valves and the aortic valve. A cranial ultrasound scan

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The echocardiographic diagnosis of multiple fetal cardiac tumors.

Dennis¹,

Appareti²,

Manco-Johnson³

et al. 1985

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

show abstract

“…Primary benign intracardiac tumours in the infant period are rare, with an incidence of 1 in 5000 to 10 000 in random autopsies (Samltz and Apitz, 1981). Antenatal diagnosis of cardiac tumours has been reported by a few authors only (Holley et al, 1995;Groves et al, 1992;de Ceeter et al, 1983;Leithiser et al, 1986).…”

Section: Introductionmentioning

confidence: 99%