Abstract
Congenital heart tumors are rare. According to various authors, the frequency of occurrence in children is from 0.02 to 0.49%. The basic facts about the tumors in children and strategy of the therapy are based on the described cases and experience of single clinics. We present a description of conservative strategy and surgical treatment of 2 infants with giant neoplasms of the right ventricular. In both cases, tumors were detected prenatally. The clinical stabilization of newborns with right ventricular giant fibroma allowed us to decide on the postponement of surgical intervention in a later period, when clinical signs will manifest. Patients underwent subtotal resection of the neoplasm. Follow-up observation of patients was 4 years.
References
- Bockeria L.A., Shatalov K.V. Children’s cardiovascular surgery. Moscow; 2016 (in Russ.).
- Uzun O., Wilson D.G., Vujanic G.M., Parsons J.M., De Giovanni J.V. Cardiac tumours in children. Orphan. J. Rare Dis. 2007, 2: 11. DOI: 10.1186/1750-1172-2-11
- Padalino M., Vida V., Boccuzzo G., Tonello M., Sarris G., Or G. et al. Surgery for primary cardiac tumors in children early and late results in a multicenter European Congenital Heart Surgeons Association Study. Circulation. 2012; 126. 22–30. DOI: 10.1161/CIRCULATIONAHA.111.037226
- Sandrini C., Hoxha S., Rossetti L., Pilati M., Prioli A.M., Ribichini F.L. et al. Clinical outcome of benign cardiac tumors in infants during a 13 years’ Experience: Impact of prenatal diagnosis. Biomed. J. Sci&Tech. Res. 2018; BJSTR. 7 (2)- 001483. DOI: 10.26717/BJSTR.2018.07.001483
- Kwiatkowska H.J., Wałdoch A., Meyer-Szary J., Potaz. P., Grzybiak M. Cardiac tumors in children: A 20-year review of clinical presentation, diagnostics and treatment. Adv. Clin. Exp. Med. 2017; 26 (2): 319–26. DOI: 10.17219/acem/62121
- Ying L., Lin R., Gao Z., Qi J., Zhang Z., Gu W. Primary cardiac tumors in children: a center's experience. J. Cardiothorac. Surg. 2016; 11 (1): 52. DOI: 10.1186/s13019-016-0448-5
- Gładki M.M., Morka A., Żurek R., Radzymińska-Chruściel B., Skalski J.H. Cardiac fibroma in a neonate. Kardiol. Pol. 2017; 75 (9): 931. DOI: 10.5603/KP.2017.0169
- Delmo Walter E.M., Javier M.F., Sander F., Hartmann B., Ekkernkamp A., Hetzer R. Primary cardiac tumors in infants and children: Surgical strategy and long-term outcome. Ann. Thorac. Surg. 2016; 102 (6): 2062–9. DOI: 10.1016/j.athoracsur.2016.04.057
- Amdani S.M., Yerrapotu N., Ross R. Right ventricular mass in a neonate. J. Paediatr. Child. Health. 2017; 53 (8): 826–7. DOI: 10.1111/jpc.13601
About the authors
- Irina Yu. Baryshnikova, Cand. Med. Sc., Researcher, ORCID
- Inessa E. Nefedova, Cand. Med. Sc., Head of Department, ORCID
- Leo A. Bockeria, Academician of RAS and RAMS, President, ORCID
- David O. Berishvili, Dr. Med. Sc., Head of Department, ORCID
