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Pereira M, Almeida C, Antunes Sarmento J, O Miranda J. Refractory Fetal and Neonatal Supraventricular Tachycardia Associated With Mitral Valve Mass. Cureus 2024; 16:e63944. [PMID: 39105007 PMCID: PMC11299044 DOI: 10.7759/cureus.63944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/05/2024] [Indexed: 08/07/2024] Open
Abstract
Primary cardiac tumors in children are rare and mostly benign but can cause significant cardiovascular complications, including arrhythmias. We present a rare case of fetal and neonatal refractory supraventricular tachycardia linked to a probable mitral valve hemangioma, resulting in severe neonatal and maternal morbidity. Despite challenges, pharmacological therapy ultimately successfully managed the condition, highlighting the importance of individualized treatment in such complex cases.
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Affiliation(s)
- Marisa Pereira
- Pediatric Cardiology Department, Centro Hospitalar Universitário de São João, Porto, PRT
| | - Catarina Almeida
- Pediatric Cardiology Department, Centro Hospitalar Universitário de São João, Porto, PRT
| | - João Antunes Sarmento
- Pediatric Cardiology Department, Centro Hospitalar Universitário de São João, Porto, PRT
- Gynecology-Obstetrics and Pediatrics Department, Faculty of Medicine of the University of Porto, Porto, PRT
| | - Joana O Miranda
- Pediatric Cardiology Department, Centro Hospitalar Universitário de São João, Porto, PRT
- Surgery and Physiology Department, Faculty of Medicine of the University of Porto, Porto, PRT
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Sakamoto Y, Okada S, Maekawa R, Muneuchi J, Sugitani Y, Ochiai Y, Kamimura T, Joo K, Onishi Y, Kobayashi M, Kawakami T, Motoshita J, Hasegawa S. Fetal cardiac capillary hemangioma resulting in tachyarrhythmia. Echocardiography 2022; 39:1457-1461. [PMID: 36258638 DOI: 10.1111/echo.15468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 08/17/2022] [Accepted: 09/19/2022] [Indexed: 11/30/2022] Open
Abstract
We present the case of a fetus with cardiac capillary hemangioma in the right atrial cavity. The tumor showed dramatic growth between the 28th and 32nd week of gestation and resulted in tachyarrhythmia. The patient was born at the 33 weeks of gestation weighing 2430 g via urgent cesarean section because the rapidly growing cardiac tumor caused incessant tachyarrhythmia, pericardial effusion, and fetal circulatory incompetence. Coronary angiography revealed that the right coronary artery drained into the tumor. Due to hemodynamic deterioration, the patient underwent subtotal resection of the tumor on the 2nd day after birth. Histopathological examination revealed an undifferentiated capillary hemangioma. The patient was discharged at the age of 86 days, as the tachyarrhythmia and hemodynamic incompetence had subsided; however, bradycardia and intermittent atrioventricular conduction disturbance gradually developed. Capillary hemangioma, a rare primary cardiac space-occupying tumor in children, can invade the conduction system.
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Affiliation(s)
- Yukifumi Sakamoto
- Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan
| | - Seigo Okada
- Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan
| | - Ryo Maekawa
- Department of Obstetrics and Gynecology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan
| | - Jun Muneuchi
- Department of Pediatrics, Japan Community Healthcare Organization Kyusyu Hospital, Kitakyusyu, Fukuoka, Japan
| | - Yuichiro Sugitani
- Department of Pediatrics, Japan Community Healthcare Organization Kyusyu Hospital, Kitakyusyu, Fukuoka, Japan
| | - Yoshie Ochiai
- Department of Cardiovascular Surgery, Japan Community Healthcare Organization Kyusyu Hospital, Kitakyusyu, Fukuoka, Japan
| | - Tetsuro Kamimura
- Department of Pediatric Surgery, Japan Community Healthcare Organization Kyusyu Hospital, Kitakyusyu, Fukuoka, Japan
| | - Kunihiko Joo
- Department of Cardiovascular Surgery, Japan Community Healthcare Organization Kyusyu Hospital, Kitakyusyu, Fukuoka, Japan
| | - Yuji Onishi
- Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan
| | - Masaru Kobayashi
- Department of Pediatrics, Japan Community Healthcare Organization Kyusyu Hospital, Kitakyusyu, Fukuoka, Japan
| | - Takeshi Kawakami
- Department of Obstetrics and Gynecology, Japan Community Healthcare Organization Kyusyu Hospital, Kitakyusyu, Fukuoka, Japan
| | - Junichi Motoshita
- Department of Pathology, Japan Community Healthcare Organization Kyusyu Hospital, Kitakyusyu, Fukuoka, Japan
| | - Shunji Hasegawa
- Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan
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Arora V, Verma M, Malhi AS, Devagourou V, Arava S, Jagia P. A rare pediatric case of pedunculated cardiac hemangioma of the left ventricle. J Card Surg 2022; 37:3384-3386. [PMID: 35842809 DOI: 10.1111/jocs.16768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 06/23/2022] [Indexed: 11/29/2022]
Abstract
A 12-year-old male child with atypical chest pain and fatigue since past 3 months underwent cardiac magnetic resonance (CMR) imaging for suspicious globular mobile mass detected in the left ventricle on a transthoracic echocardiography. CMR revealed peripheral vascular blush on the first pass perfusion images with centripetal progressive intensely bright enhancement on late gadolinium-enhanced images. Further confirmation and histological diagnosis of the tumor was made through transaortic aortic resection of the mass.
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Affiliation(s)
- Vasundhara Arora
- Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, New Delhi, India
| | - Mansi Verma
- Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, New Delhi, India
| | - Amarinder S Malhi
- Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, New Delhi, India
| | - Velayoudam Devagourou
- Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, New Delhi, India
| | - Sudheer Arava
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, New Delhi, India
| | - Priya Jagia
- Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, New Delhi, India
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