Accuracy of Echocardiographic Diagnosis and the Short-term Post-operative Outcome of Pediatric Cardiac Tumors
10.3969/j.issn.1000-3614.2024.10.008
- VernacularTitle:小儿心脏肿瘤超声心动图术前诊断准确性及术后早期结果
- Author:
Tingting ZHANG
1
;
Nan XU
;
Jiayi XING
;
Jiaqi ZHANG
;
Li ZHANG
;
Bing ZHANG
;
Hao WANG
;
Kunjing PANG
Author Information
1. 中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院 超声影像中心,北京 100037
- Keywords:
child;
cardiac tumor;
echocardiography;
surgery
- From:
Chinese Circulation Journal
2024;39(10):1003-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To summarize the experience of echocardiographic diagnosis and the short-term post-operative outcome of children with cardiac tumors. Methods:A total of 27 infants and children,who underwent echocardiography examination and were preliminarily diagnosed with cardiac tumors in Fuwai Hospital from January 2018 to June 2023,were retrospectively included in this study.Clinical symptoms,echocardiographic results,surgical and perioperative results and early outcomes were analyzed. Results:Among the 27 patients,16 were males.The age ranged from 1 month to 11 years(mean age:[3.2±2.5]years)and the body weight ranged from 5.7 to 40.0 kg(mean body weight:[17.2±11.2]kg).Cardiac tumors were pathologically confirmed in 25 cases,including 14 cases of fibroma,5 cases of rhabdomyoma,3 cases of myxoma,2 cases of lipoma,1 case of hemangioma.Preoperative echocardiographic diagnosis was consistent with postoperative pathologic diagnosis in 14 cases.Nontumor lesions were misdiagnosed as tumors by echocardiography in 2 cases.All the patients underwent surgery,complications occurred in 2 cases early post surgery and underwent reoperations and recovered well.There were no deaths during a median follow-up of 29.8(6.5,72.0)months,recurrence occurred in one child with myxoma. Conclusions:Pediatric patients with cardiac tumors have specific echocardiographic manifestations.It is necessary to sum up related experience constantly to improve the diagnostic accuracy.Short-term outcome post-surgery is satisfactory for the treatment of benign pediatric cardiac tumors.
