Tahernia A C, Bricker J T, Ott D A
Division of Pediatric Cardiology, Stormont-Vail Regional Medical Center, Topeka, KS 66604-1353.
Clin Cardiol. 1990 Jul;13(7):506-12. doi: 10.1002/clc.4960130715.
Primary tumors of the heart are rare in infancy and childhood. A one-year-old, asymptomatic, male infant with unimpressive physical findings in whom an echocardiogram demonstrated a large, encapsulated, solid fibroma filling the right ventricle without obstruction of either the inflow or outflow tract is presented. Successful complete surgical excision of the tumor was accomplished. The histological examination was compatible with a benign fibroma. The infant has remained asymptomatic postoperatively with subsidence of the heart murmur. He has not shown any evidence of recurrence of the tumor during a follow-up period of 29 months. This represents an unusual case of a huge right ventricular fibroma and only the fifth youngest patient, to our knowledge, to undergo successful surgical removal.
心脏原发性肿瘤在婴儿期和儿童期较为罕见。本文报告了一名1岁无症状男婴，体格检查无明显异常，超声心动图显示一个巨大的、有包膜的实性纤维瘤充满右心室，未阻塞流入道或流出道。肿瘤成功地进行了完整的手术切除。组织学检查结果符合良性纤维瘤。术后婴儿一直无症状，心脏杂音消失。在29个月的随访期内，未发现肿瘤复发的任何迹象。这是一例罕见的巨大右心室纤维瘤病例，据我们所知，也是接受成功手术切除的年龄最小的第五例患者。
