Cardiac Tumors in Pediatric Patients: A Systematic Review. (September 2017)

• Record Type: Journal Article
• Authors: Tzani, Aspasia; Doulamis, Ilias P.; Mylonas, Konstantinos S.; Avgerinos, Dimitrios V.; Nasioudis, Dimitrios
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 8:Number 5(2017)
• Page Start: 624
• Page End: 632
• Publication Date: 2017-09
• Subjects: cardiac tumors -- pediatric -- cardiac surgery -- mortality -- recurrence -- systematic review; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135117723904
• Languages: English
• ISSNs: 2150-1351

Abstract

This systematic review sought to investigate the current evidence regarding surgical management of primary cardiac tumors in children and adolescents. Twenty-eight studies were deemed eligible, reporting on 745 pediatric patients. Rhabdomyoma was the most prevalent histologic type and echocardiography was the most common diagnostic tool. Cumulative 30-day mortality rate was 6.7%. Rhabdomyomas and teratomas had the highest 30-day mortality. The higher percentage of tumor relapse was noted for myxoma and teratoma. Although cardiac tumors are rare, their atypical clinical presentation, potential for recurrence, and the poor prognosis associated with recurrence elucidate the need for reliable diagnostic and therapeutic management.