Mei Fuyang, Zhou Bing, Cui Yong
Department of Cardiothoracic Surgery, Zhejiang Provincial People's Hospital, No. 158 Shangtang Road, Hangzhou, Zhejiang, 310014, People's Republic of China.
J Cardiothorac Surg. 2017 Jun 12;12(1):49. doi: 10.1186/s13019-017-0612-6.
Cardiac fibroma is rarely encountered in children, and even more rare in neonates. We herein report a case of a 5-month-old female with severe right ventricular outflow tract obstruction caused by a large right ventricle fibroma that was successfully surgically resected.
This report describes the case of a 5-month-old female infant with a large mass measuring 26 × 22 mm in the right ventricle cured successfully with surgery. Physical examination revealed a harsh S1 sound and a grade IV systolic murmur on the left sternal border. Surgical resection was indicated due to severe right ventricular outflow tract obstruction and further follow-up evaluation was uneventful.
The surgical procedure to excise such a large cardiac fibroma in a 5-month-old infant is feasible and safe.
心脏纤维瘤在儿童中很少见，在新生儿中更为罕见。我们在此报告一例5个月大的女性患儿，因巨大右心室纤维瘤导致严重右心室流出道梗阻，经手术成功切除。
本报告描述了一例5个月大的女婴，其右心室有一个大小为26×22毫米的巨大肿块，通过手术成功治愈。体格检查发现第一心音粗糙，左胸骨缘有IV级收缩期杂音。由于严重的右心室流出道梗阻，故行手术切除，进一步的随访评估无异常。
在一名5个月大的婴儿中切除如此大的心脏纤维瘤的手术方法是可行且安全的。
