Choi In Su, Jeong Hyung Ki, Park Hyung Wook, Kim Yi-Seul
Department of Pediatrics, Chonnam National University Children's Hospital, Gwangju, Korea.
Department of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea.
Acute Crit Care. 2021 May;36(2):164-168. doi: 10.4266/acc.2020.00269. Epub 2021 May 28.
Pediatric cardiac tumors are rare. Among these, cardiac fibroma is the second most common. Its clinical manifestations depend on size and location of the tumor and include arrhythmia or obstruction to blood flow. Symptomatic cardiac fibroma is generally treated with surgical resection or cardiac transplantation. We present the case of a 12-year-old boy with a lethal ventricular arrhythmia induced by a remnant tumor that was previously partially resected. An implantable cardioverter defibrillator was inserted as the arrhythmia was resistant to medical treatment. He was discharged in stable condition with an implantable cardioverter defibrillator generator and followed up in the outpatient clinic.
小儿心脏肿瘤较为罕见。其中，心脏纤维瘤是第二常见的。其临床表现取决于肿瘤的大小和位置，包括心律失常或血流梗阻。有症状的心脏纤维瘤通常采用手术切除或心脏移植治疗。我们报告一例12岁男孩的病例，其先前部分切除的残留肿瘤诱发了致命性室性心律失常。由于心律失常对药物治疗耐药，故植入了植入式心律转复除颤器。他出院时情况稳定，体内带有植入式心律转复除颤器发生器，并在门诊接受随访。
