Complete Resection of a Right-Sided Interventricular Septal Fibroma. Issue 2 (March 2018)

• Record Type: Journal Article
• Authors: Picarelli, Dante; Leone, Ruben; Surraco, José L.; Fernandez, Nicolas; Antelo, Martin; Grela, Carolina; Speyer, Jorge; Bianchi, Domingo; Rios, Mateo; Chiesa, Pedro
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 9:Issue 2(2018)
• Page Start: 242
• Page End: 243
• Publication Date: 2018-03
• Subjects: cardiac tumors (includes myxoma -- primary -- metastases) -- surgery -- emergency -- pediatric -- arrhythmia; 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: 10.1177/2150135117747830
• Languages: English
• ISSNs: 2150-1351

Abstract

A 15-month-old infant with a systolic cardiac murmur developed an episode of nonsustained ventricular tachycardia during transthoracic echocardiography. A large intracardiac mass, which widened the interventricular septum causing right ventricular outflow tract obstruction, was seen and confirmed by magnetic resonance imaging. A cardiac fibroma was suspected, and because of the risk of life-threatening arrhythmias, surgery was rapidly considered. Despite the challenging location, the tumor was completely and successfully resected. Microscopic examination confirms the diagnosis of ventricular fibroma.