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British Heart Journal logoLink to British Heart Journal
. 1993 Aug;70(2):166–169. doi: 10.1136/hrt.70.2.166

10 year review of cardiac tumours in childhood.

L Abushaban 1, B Denham 1, D Duff 1
PMCID: PMC1025279  PMID: 8038028

Abstract

OBJECTIVE--To review the commonest types of cardiac tumours in childhood, their different presentations, and management. DESIGN--A retrospective study of patients with cardiac tumours. SETTING--Cardiac department of a teaching hospital. PATIENTS--Six patients with an age range between one day to three years presented over a period of 10 years. MAIN OUTCOME MEASURES--To determine different presentations, management, and prognosis of cardiac tumours. RESULTS--Three patients presented with an arrhythmia, two with an asymptomatic heart murmur, and the sixth was discovered accidentally. Surgical resection of the tumours was performed in five cases, one patient died during the operation, one developed new tumours after surgery, and the remaining three have had an excellent result. Histology of those operated on showed benign rhabdomyomas in three and fibromas in the other two. The sixth patient was managed conservatively and the multiple tumours he had showed gradual resolution over a period of 10 months follow up. One baby with rhabdomyoma had signs of tuberous sclerosis whereas the others were normal at follow up five months to three years after diagnosis. None of them had a positive family history. CONCLUSION--Cardiac tumours in childhood are extremely rare. The commonest types are rhabdomyomas, then fibromas. Most cases are diagnosed by echocardiography. The prognosis for most patients is excellent.

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Selected References

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  1. Arciniegas E., Hakimi M., Farooki Z. Q., Truccone N. J., Green E. W. Primary cardiac tumors in children. J Thorac Cardiovasc Surg. 1980 Apr;79(4):582–591. [PubMed] [Google Scholar]
  2. Bini R. M., Westaby S., Bargeron L. M., Jr, Pacifico A. D., Kirklin J. W. Investigation and management of primary cardiac tumors in infants and children. J Am Coll Cardiol. 1983 Aug;2(2):351–357. doi: 10.1016/s0735-1097(83)80174-0. [DOI] [PubMed] [Google Scholar]
  3. Costas C., Williams R. L., Fortune R. L. Intracardiac teratoma in an infant. Pediatr Cardiol. 1986;7(3):179–181. doi: 10.1007/BF02424995. [DOI] [PubMed] [Google Scholar]
  4. Eker R., Cantez T., Doğan O., Demiryent M., Celik A., Karaböcüoğlu M. Pericardial mesothelioma. A pediatric case report. Turk J Pediatr. 1989 Oct-Dec;31(4):305–309. [PubMed] [Google Scholar]
  5. Farooki Z. Q., Ross R. D., Paridon S. M., Humes R. A., Karpawich P. P., Pinsky W. W. Spontaneous regression of cardiac rhabdomyoma. Am J Cardiol. 1991 Apr 15;67(9):897–899. doi: 10.1016/0002-9149(91)90629-y. [DOI] [PubMed] [Google Scholar]
  6. Filiatrault M., Béland M. J., Neilson K. A., Paquet M. Cardiac fibroma presenting with clinically significant arrhythmias in infancy. Pediatr Cardiol. 1991 Apr;12(2):118–120. doi: 10.1007/BF02238417. [DOI] [PubMed] [Google Scholar]
  7. Hals J., Ek J., Sandnes K. Cardiac myxoma as the cause of death in an infant. Acta Paediatr Scand. 1990 Oct;79(10):999–1000. doi: 10.1111/j.1651-2227.1990.tb11372.x. [DOI] [PubMed] [Google Scholar]
  8. Harding C. O., Pagon R. A. Incidence of tuberous sclerosis in patients with cardiac rhabdomyoma. Am J Med Genet. 1990 Dec;37(4):443–446. doi: 10.1002/ajmg.1320370402. [DOI] [PubMed] [Google Scholar]
  9. Moriarty A. T., Nelson W. A., McGahey B. Fine needle aspiration of rhabdomyosarcoma of the heart. Light and electron microscopic findings and histologic correlation. Acta Cytol. 1990 Jan-Feb;34(1):74–78. [PubMed] [Google Scholar]
  10. Nadas A. S., Ellison R. C. Cardiac tumors in infancy. Am J Cardiol. 1968 Mar;21(3):363–366. doi: 10.1016/0002-9149(68)90140-9. [DOI] [PubMed] [Google Scholar]
  11. Rienmüller R., Lloret J. L., Tiling R., Groh J., Manert W., Müller K. D., Seifert K. MR imaging of pediatric cardiac tumors previously diagnosed by echocardiography. J Comput Assist Tomogr. 1989 Jul-Aug;13(4):621–626. doi: 10.1097/00004728-198907000-00012. [DOI] [PubMed] [Google Scholar]
  12. Shiraishi H., Yanagisawa M., Kuramatsu T., Shimoizumi H., Tanaka O. Cardiac tumour in a neonate with tuberous sclerosis: echocardiographic demonstration and magnetic resonance imaging. Eur J Pediatr. 1988 Oct;148(1):50–52. doi: 10.1007/BF00441814. [DOI] [PubMed] [Google Scholar]
  13. Skillington P. D., Brawn W. J., Edis B. D., Menahem S., Venables A. W., Goh T. H., Mee R. B. Surgical excision of primary cardiac tumours in infancy. Aust N Z J Surg. 1987 Sep;57(9):599–604. doi: 10.1111/j.1445-2197.1987.tb01433.x. [DOI] [PubMed] [Google Scholar]
  14. Smith H. C., Watson G. H., Patel R. G., Super M. Cardiac rhabdomyomata in tuberous sclerosis: their course and diagnostic value. Arch Dis Child. 1989 Feb;64(2):196–200. doi: 10.1136/adc.64.2.196. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Van der Hauwaert L. G. Cardiac tumours in infancy and childhood. Br Heart J. 1971 Jan;33(1):125–132. doi: 10.1136/hrt.33.1.125. [DOI] [PMC free article] [PubMed] [Google Scholar]

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