A Case Report : Primary Cardiac Tumor In a 1-year old girl

Author : N.A. Tafriend, R, Puspitoadi, A. Priyatno, A. Soetadji
Upload Date : 19-04-2018

Background: Most of primary cardiac tumors in the pediatric age group are benign. However, they may cause major symptoms because of their intracardiac position and/or dimensions. Postmortem examination data showed that cardiac tumors in the pediatric population occur mostly in patients younger than 16 years of age.

Case Presentation: A 1-year-6-month baby with a symptom of feeding difficulty, failure to thrive and recurrent respiratory tract infection was refferred  from a pediatrician in Pekalongan to Kariadi Hospital for further examination. From the cardiac auscultation there was low pitch  pansystolic murmur grade III/6 with punctum maximum at left lower sternal border. Then the patient we proceded to Echocardiography examination showed  a large mass occupaying the left ventricular chamber with no peduncle, there was no distinct border between the mass and myocardial. Cardiac CT revealed that this patient have Cardiomegaly with diffuse thickening of the left ventricular wall with lobulated form, occupaying the ventricle left ventricular chamber (maximum wall thickness posterior ± 2.97 cm, septum interventrikel ± 1.08 cm), and compressing right ventricle chamber with. The differential diagnosis of this case; Fibroma, Rhabdomyoma, Lymphoma.

Discussion: In the pediatric age the most frequent heart tumors are rhabdomyomas (45%), followed with fibromas (25%), myxomas (10–15%), and intrapericardial teratomas (10%). In addition, rhabdomyomas are the most common cardiac neoplasms in the neonate and infant, while in teenagers and adult, myxomas are the most common type of cardiac tumor.

Conslusion: Diagnosis of cardiac tumor in pediatric is challenging although most of cardiac tumor are bening. Malignant primary cardiac tumors are extremely rare in infancy and pediatric age.

KEYWORDS : Pediatric, Cardiac Tumor

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