Left ventricular myxoma in a child: a case report.
Left ventricular myxoma are quite rare and have not been reported in children. We report a left ventricular myxoma arising from interventricular septum in a 12-year-old girl who presented with history of single episode of syncope while playing in school. General examination of the child did not reveal any abnormality except a grade II/VI systolic murmur in left parasternal area. Transthoracic echocardiography revealed a round pedunculated mass (18 × 30 mm) in left ventricle arising from middle of interventricular septum with a pedicle measuring 4 mm at its base. The tumour was projecting through aortic valve in systole. Syncope in this case was probably due to obstruction of left ventricular outflow tract by myxoma leading to a decrease in cardiac output. Complete excision of myxoma was done through transmitral approach.
Pediatric Cardiology, Military Hospital (Cardio Thoracic Centre), Golibar Maidan, Pune 411040, Maharashtra, India. drprabhat_cardio@yahoo.co.in
Prabhat
P
Kumar
Anurag
A
Garg
D001707:Biopsy, Needle; D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D004452:Echocardiography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging* / Q000469:parasitology; D006801:Humans; D007150:Immunohistochemistry; D009232:Myxoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D012720:Severity of Illness Index; D013575:Syncope / Q000175:diagnosis / Q000209:etiology; D016896:Treatment Outcome