Left ventricular cardiac fibroma in a child presenting with ventricular tachycardia.

Stratemann S, Dzurik Y, Fish F, Parra D
Pediatr Cardiol. 2008 29 (1): 223-6

PMID: 17849072 · DOI:10.1007/s00246-007-9083-1

Cardiac tumors in children are rare. Although most are histologically benign, they can be associated with life-threatening arrhythmias and sudden death. We report a 7-year-old boy, with a first episode of symptomatic tachycardia, who was found to have a left ventricular (LV) fibroma. He had a normal echocardiogram prior to an electrophysiology study, which revealed a sustained monomorphic ventricular tachycardia and a radio-opacity near the LV apex. These findings prompted a cardiac MRI, which demonstrated a discrete mass on his LV apex and free wall. Our case emphasizes that structural heart disease should be aggressively pursued in children presenting with ventricular tachycardia.

MeSH Terms (9)

Child Electrophysiologic Techniques, Cardiac Fibroma Heart Neoplasms Heart Ventricles Humans Magnetic Resonance Imaging Male Tachycardia, Ventricular

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