Left ventricular cardiac fibroma in a child presenting with ventricular tachycardia.
Cardiac tumors in children are rare. Although most are histologically benign, they can be associated with life-threatening arrhythmias and sudden death. We report a 7-year-old boy, with a first episode of symptomatic tachycardia, who was found to have a left ventricular (LV) fibroma. He had a normal echocardiogram prior to an electrophysiology study, which revealed a sustained monomorphic ventricular tachycardia and a radio-opacity near the LV apex. These findings prompted a cardiac MRI, which demonstrated a discrete mass on his LV apex and free wall. Our case emphasizes that structural heart disease should be aggressively pursued in children presenting with ventricular tachycardia.
Stratemann
Stacy
S
Vanderbilt University Medical Center, 1211 22nd Avenue South, Nashville, TN 37232-0002, USA. stacy.stratemann@vanderbilt.edu
Dzurik
Yvette
Y
Fish
Frank
F
Parra
David
D
D002648:Child; D022062:Electrophysiologic Techniques, Cardiac; D005350:Fibroma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006352:Heart Ventricles; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D017180:Tachycardia, Ventricular / Q000209:etiology*