Giant Cardiac Fibroma: An Unusual Cause of Failure to Thrive

Cardiac fibromas are extremely rare in the general pediatric population and may present with a wide spectrum of clinical signs, including life-threatening arrhythmias and sudden death. We report a 14-month-old boy who presented with failure to thrive as the only symptom. Echocardiography showed a la...

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Bibliographic Details
Published in:Pediatric cardiology 2013-06, Vol.34 (5), p.1264-1266
Main Authors: Navarini, Susanne, Latzin, Philipp, Kadner, Alexander, Carrel, Thierry, Hutter, Damian
Format: Article
Language:English
Subjects:
Arrhythmia
Arrhythmia in children
Cardiac Surgery
Cardiology
Case Report
Children
Echocardiography
Failure to thrive
Failure to Thrive - etiology
Fibroma - complications
Fibroma - diagnostic imaging
Fibroma - pathology
Fibroma - surgery
Fibromas
Health aspects
Heart Neoplasms - complications
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - pathology
Heart Neoplasms - surgery
Humans
Infant
Male
Medicine
Medicine & Public Health
Pediatric cardiology
Vascular Surgery
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Summary:Cardiac fibromas are extremely rare in the general pediatric population and may present with a wide spectrum of clinical signs, including life-threatening arrhythmias and sudden death. We report a 14-month-old boy who presented with failure to thrive as the only symptom. Echocardiography showed a large cardiac fibroma in the right ventricle. Cardiac magnetic resonance imaging confirmed the diagnosis. After complete surgical tumor resection, the boy showed normal catch-up growth. This case underlines the diversity of clinical features of cardiac tumors, which implies that they should be considered early in the differential diagnosis of infants with failure to thrive.
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-012-0374-9