Surgical resection of a massive right ventricular fibroma causing outflow tract obstruction in a young infant is feasible, safe, and prevents cardiovascular collapse.
May support surgical resection in select neonates with symptomatic RV fibroma; leaves optimal management open given extreme rarity.
BACKGROUND: Cardiac fibroma is rarely encountered in children, and even more rare in neonates. We herein report a case of a 5-month-old female with severe right ventricular outflow tract obstruction caused by a large right ventricle fibroma that was successfully surgically resected. CASE PRESENTATION: This report describes the case of a 5-month-old female infant with a large mass measuring 26 × 22 mm in the right ventricle cured successfully with surgery. Physical examination revealed a harsh S1 sound and a grade IV systolic murmur on the left sternal border. Surgical resection was indicated due to severe right ventricular outflow tract obstruction and further follow-up evaluation was uneventful. CONCLUSION: The surgical procedure to excise such a large cardiac fibroma in a 5-month-old infant is feasible and safe.
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Mei et al. (2017) studied this question.
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