Surgical experience of pediatric cardiac fibromas
10.3760/cma.j.cn112434-20211126-00375
- VernacularTitle:儿童心脏纤维瘤的外科切除术治疗经验
- Author:
Wen ZHANG
1
;
Qi JIANG
;
Renjie HU
;
Wei DONG
;
Hongbin ZHU
;
Lisheng QIU
;
Haibo ZHANG
Author Information
1. 上海交通大学医学院附属上海儿童医学中心心胸外科,上海 200127
- Keywords:
Pediatric cardiac tumor;
Cardiac fibroma;
Ssurgical treatment
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(10):596-598
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize single-center experience and short-term outcomes of surgical treatment of pediatric cardiac fibromas.Methods:There was a retrospective study of 10 patients who underwent surgical treatment of cardiac fibromas between January 2018 and October 2021. Fibromas were located in the left ventricle in 7 cases, and in the right ventricle in 3 cases. Mean tumor diameter was(5.6±2.0) cm.Results:Median age at surgery was 3.1 years old(5 months-9 years old). Nine patients received complete resection, and the other one received partial resection. One patient with giant left ventricular fibroma required extracorporeal membrane oxygenation support for ventricular fibrillation after weaning from cardiopulmonary bypass, and was successfully weaned on the third postoperative day. There was no early mortality. Median follow-up time was 6 months(1 month-3 years). No tumor recurrence nor ventricular arrhythmia was documented during the follow-up period.Conclusion:Pediatric cardiac fibromas can be usually treated by complete resection, with relief of cardiac dysfunction and ventricular arrythmia after surgery, and with satisfactory results.