Multi-Disciplinary Management and Surgical Resection of Intracardiac Fibromas Causing Bilateral Ventricular Outflow Tract Obstructions in an Infant

Author:

Stone Matthew L.1,Albertz Megan L.1,Galambos Csaba1,Twite Mark D.1,Campbell David N.1,Di Maria Michael1,Fonseca Brian1,Miyamoto Shelley D.1,Ing Richard J.1ORCID

Affiliation:

1. University of Colorado School of Medicine, Children’s Hospital Colorado, Aurora, CO, USA

Abstract

Cardiac tumors remain rare in children with benign pathologies predominating. Indications for surgical management often result from compromised ventricular chamber size, biventricular outflow tract obstruction, impaired ventricular function, or the presence of medically refractory dysrhythmias. We present a case of a six-month-old infant with two intracardiac fibromas originating in the interventricular septum. The fibromas were causing significant biventricular outflow obstruction. The patient successfully underwent tumor resection on cardiopulmonary bypass The literature on pediatric cardiac tumors is reviewed. Multi-disciplinary medical planning is necessary for successful anesthetic and surgical treatment of this high-risk patient population.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Cardiology and Cardiovascular Medicine

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