Skip to main content

Fatal Cardiac Arrest Due to an Unusual Fibroma of the Pulmonary Valve

Abstract

Fibroma, the second most common tumor in childhood, usually is a large solitary mass involving the ventricular septum or the left and rarely the right free ventricular wall. An unusual case of a 5.2-year-old boy with a large mass originating from the pulmonary valve is reported. The patient presented for evaluation of a murmur. Echocardiography and cardiac magnetic resonance imaging showed a large tumor extending from the distal right ventricular outflow tract through the pulmonary valve and into the main pulmonary artery causing moderate obstruction. The patient had a fatal cardiac arrest while awaiting surgery. The postmortem examination proved the tumor to be a fibroma.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Becker AE (2000) Primary heart tumors in the pediatric age group: a review of salient pathologic features relevant for clinicians. Pediatr Cardiol 2:317–323

    Article  Google Scholar 

  2. Beghetti M, Gow RM, Haney I et al (1997) Pediatric primary benign cardiac tumors: a 15-year review. Am Heart J 134:1107–1114

    PubMed  Article  CAS  Google Scholar 

  3. Freedom RM, Lee KJ, MacDonald C, Taylor G (2000) Selected aspects of cardiac tumors in infancy and childhood. Pediatr Cardiol 2:299–316

    Article  Google Scholar 

  4. Grebenc ML, Rosado de Christenson M et al (2000) Primary cardiac and pericardial neoplasms: radiologic-pathologic correlation. Radiographics 20:1073–1103

    PubMed  CAS  Google Scholar 

  5. Hoffmann U, Globits S, Schima W et al (2003) Usefulness of magnetic resonance imaging of cardiac and paracardiac masses. Am J Cardiol 92:890–895

    PubMed  Article  Google Scholar 

  6. Kiaffas MG, Powell AJ, Geva T (2002) Magnetic resonance imaging characteristics in infants and children. Am J Cardiol 89:1229–1233

    PubMed  Article  Google Scholar 

  7. Sallee D, Spector ML, van Heeckeren DW, Patel CR (1999) Primary pediatric cardiac tumors: a 17-year experience. Cardiol Young 9:155–162

    PubMed  Article  CAS  Google Scholar 

  8. Simcha A, Wells BG, Tynan MJ et al (1971) Primary cardiac tumors in childhood. Arch Dis Child 46:508–514

    PubMed  Article  CAS  Google Scholar 

  9. Wann LS, Sampson C, Liu Y (1998) Cardiac and paracardiac masses: complementary role of echocardiography and magnetic resonance imaging. Echocardiography 15:139–146

    PubMed  Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Maria G. Kiaffas.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Kiaffas, M.G., Danias, P.G., Kaklamanis, L. et al. Fatal Cardiac Arrest Due to an Unusual Fibroma of the Pulmonary Valve. Pediatr Cardiol 30, 536–539 (2009). https://doi.org/10.1007/s00246-008-9380-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-008-9380-3

Keywords

  • Cardiac MRI
  • Pediatric cardiac fibroma
  • Pulmonary valve