Navarini Susanne, Latzin Philipp, Kadner Alexander, Carrel Thierry, Hutter Damian
Division of Pediatric Cardiology, University Children's Hospital of Berne, Berne, Switzerland.
Pediatr Cardiol. 2013 Jun;34(5):1264-6. doi: 10.1007/s00246-012-0374-9. Epub 2012 May 30.
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.
心脏纤维瘤在普通儿科人群中极为罕见，可能表现出广泛的临床症状，包括危及生命的心律失常和猝死。我们报告一例14个月大的男童，其唯一症状是发育不良。超声心动图显示右心室有一个大的心脏纤维瘤。心脏磁共振成像确诊了该病。在完整切除肿瘤后，该男童实现了正常的追赶生长。该病例强调了心脏肿瘤临床特征的多样性，这意味着在对发育不良婴儿进行鉴别诊断时应尽早考虑到心脏肿瘤。
