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Primary cardiac fibroma in infants: A case report and review of cases of cardiac fibroma managed through orthotopic heart transplant


1 Pediatric Cardiology Department, Puerta del Mar University Hospital, Cadiz, Spain
2 Pediatric Cardiology Department, Reina Sofia University Hospital, Córdoba, Spain
3 Department of Pathology and Laboratory Medicine Clinical Anatomic Pathology of Reina Sofia University Hospital, CÓrdoba, Spain
4 Pediatric Cardiology Unit, Virgen del Rocío University Hospital/Institute of Biomedicine of Sevilla (IBIS) of Seville, CIBER-CV, Seville, Spain

Correspondence Address:
Dr. Moises Rodriguez-Gonzalez
34th of Ana de Viya Avenue, Cadiz PC 11100
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_78_20

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Year : 2021  |  Volume : 14  |  Issue : 2  |  Page : 224-227

 

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Cardiac fibromas (CF) are the second most common cardiac tumors in children. They can be aggressive tumors despite their benign histopathologic nature, accounting for the highest mortality rate among primary cardiac tumors. CF usually presents a progressive growth and spontaneous regression is rare. Therefore, a complete surgical excision is the preferred therapeutic approach when patients become symptomatic or if mass-related life-threatening complications are anticipated, even in asymptomatic patients. However, some cases are not good candidates for surgical excision due to the impossibility of preserving a normal cardiac anatomy or function after the tumor resection. Orthotopic heart transplantation (OHT) can be an exceptional but adequate alternative for some giant unresectable CF in children. In this article, we report our experience with the case of a 7-month-old infant with a giant unresectable cardiac fibroma who was successfully managed through OHT.






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1 Pediatric Cardiology Department, Puerta del Mar University Hospital, Cadiz, Spain
2 Pediatric Cardiology Department, Reina Sofia University Hospital, Córdoba, Spain
3 Department of Pathology and Laboratory Medicine Clinical Anatomic Pathology of Reina Sofia University Hospital, CÓrdoba, Spain
4 Pediatric Cardiology Unit, Virgen del Rocío University Hospital/Institute of Biomedicine of Sevilla (IBIS) of Seville, CIBER-CV, Seville, Spain

Correspondence Address:
Dr. Moises Rodriguez-Gonzalez
34th of Ana de Viya Avenue, Cadiz PC 11100
Spain
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_78_20

Rights and Permissions

Cardiac fibromas (CF) are the second most common cardiac tumors in children. They can be aggressive tumors despite their benign histopathologic nature, accounting for the highest mortality rate among primary cardiac tumors. CF usually presents a progressive growth and spontaneous regression is rare. Therefore, a complete surgical excision is the preferred therapeutic approach when patients become symptomatic or if mass-related life-threatening complications are anticipated, even in asymptomatic patients. However, some cases are not good candidates for surgical excision due to the impossibility of preserving a normal cardiac anatomy or function after the tumor resection. Orthotopic heart transplantation (OHT) can be an exceptional but adequate alternative for some giant unresectable CF in children. In this article, we report our experience with the case of a 7-month-old infant with a giant unresectable cardiac fibroma who was successfully managed through OHT.






[FULL TEXT] [PDF]*


        
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