What question did this study set out to answer?

To address the management of an incidental cardiac fibroma in a pediatric patient.

April 22, 2026

Prophylactic resection of an incidental right ventricular fibroma in a child

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Right ventricular fibroma (n=1). Intervention: Prophylactic complete resection. Primary outcome: Recurrence and ventricular function.

XZXiang ZhouWuhan University of Science and Technology HLH G LiuWuhan University of Science and Technology ZHZhengdong HuaWuhan University of Science and Technology

Key Result

Prophylactic complete resection of an incidental right ventricular fibroma in a 4-year-old boy resulted in no recurrence and normal ventricular function at 8-year follow-up.

Key Points

To address the management of an incidental cardiac fibroma in a pediatric patient.
Routine examination leading to echocardiography and cardiac CT imaging.
Prophylactic complete resection of the fibroma despite the patient being asymptomatic.
Histopathological confirmation of the tumor type.
The tumor measured 24.5 × 33.6 mm and was well-circumscribed.
Post-surgery, the patient remained recurrence-free with normal ventricular function.
Eight-year follow-up confirmed no complications related to the resection.

Study Design

Type

Case Report (n=1)

Structured PICO

Does prophylactic complete resection prevent complications in an asymptomatic child with a right ventricular fibroma?

Population

4-year-old asymptomatic boy with an incidental right ventricular fibroma (n=1)

Intervention

Prophylactic complete resection

Outcome

Recurrence and ventricular function at 8-year follow-up

Prophylactic surgical resection of an incidental right ventricular fibroma in an asymptomatic child resulted in excellent long-term outcomes without recurrence.

Abstract

Cardiac fibromas are rare benign tumors in children that may present incidentally. We report a 4-year-old asymptomatic boy with a right ventricular fibroma detected during routine examination. Multimodality imaging including echocardiography and cardiac computed tomography demonstrated a 24.5 × 33.6 mm well-circumscribed mass beneath the right ventricular outflow tract without hemodynamic compromise. Despite the absence of symptoms, prophylactic complete resection was performed given the tumor's non-regressive nature and potential arrhythmogenic risk. Histopathology confirmed cardiac fibroma. The patient remained recurrence-free with normal ventricular function at 8-year follow-up. This case highlights the role of early surgical intervention in pediatric cardiac fibromas, even in asymptomatic patients, to prevent future life-threatening complications.

Demander à l'IA

Bookmark

View Full Paper