Surgical treatment for cardiac rhabdomyomas in children

Surgery for Primary Cardiac Tumors in Children

“…2,10,21 This confirms on a large scale what has often been reported in previous case reports, 7,9,15,46,47 and it may support the acquired origin of myxomas 48 in comparison with other histotypes that are commonly described in neonates or even prenatally, and therefore may be considered congenital hamartomas (such as rhabdomyomas or fibromas).…”

“…In addition, in children with benign cardiac tumors, there was no difference in terms of overall mortality and postoperative complications between complete and partial resection of the tumor other than myxoma, especially for those tumors that may spontaneously regress such as rhabdomyomas. [15][16][17] This is not in contrast with the significantly different incidence of adverse events at follow-up detected in these 2 groups (Pϭ0.009); in fact, most histotypes undergoing partial surgical resection were rhabdomyomas, in which development of tuberous sclerosis may be a common adverse event. Moreover, there was no regrowth of tumor late after partial resection, confirming the efficacy of this type of treatment.…”

Cardiovascular Manifestations of Tuberous Sclerosis Complex and Summary of the Revised Diagnostic Criteria and Surveillance and Management Recommendations From the International Tuberous Sclerosis Consensus Group

“…58 Surgical series have reported a rate as high as 20%, but this is likely a reflection of referral bias. 26,59 Because the infant with heart failure requiring surgery may be critically ill, these patients are relatively high‐risk surgical candidates. However, partial resection is typically adequate if complete excision would sacrifice vital structures or myocardial mass.…”

Evaluation of Cardiac Tumors in Children by Electron-Beam Computed Tomography Rhabdomyoma and Fibroma

“…[12][13][14][15] Non-operated patients may have minimal cardiac signs or symptoms for several year, 15 whereas those with obstructive symptoms should be operated on as a matter of urgency. 16,17 Anatomic and hemodynamic abnormalities can be quickly determined by 2-D echocardiography. 18 In the present study, there was little discrepancy between echocardiography and EBT examination in tumor location.…”