Cheul Lee, MD, Soo-Jin Kim, MD, Yang Min Kim, MD

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Presentation transcript:

Cardiac Fibroma in an Infant: Complete Resection After a Blalock-Taussig Shunt as Initial Palliation Cheul Lee, MD, Soo-Jin Kim, MD, Yang Min Kim, MD The Annals of Thoracic Surgery Volume 90, Issue 3, Pages 1011-1014 (September 2010) DOI: 10.1016/j.athoracsur.2010.02.046 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Cardiac magnetic resonance imaging (MRI) scan. (A, B) Initial preoperative MRI of the neonate: T1-weighted axial and coronal images show a large, soft-tissue mass obstructing most of the right ventricular (RV) cavity. This mass measured 2.6 × 3.8 cm, with a very small cavity for inlet and outlet. (C, D) Follow-up axial and coronal MRI images at 1 year after a Blalock-Taussig shunt. The RV mass shows wide attachment at the free wall without a change in size. (E, F) A follow-up MRI at 9 years of age indicated that the mass had not significantly changed in size and due to the normal growth of her heart, the mass looked relatively smaller compared with the previous MRI taken at birth. The Annals of Thoracic Surgery 2010 90, 1011-1014DOI: (10.1016/j.athoracsur.2010.02.046) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Surgical view of the mass shows the well-circumscribed, firm, gray-white colored mass (5 × 4 cm) originated from the right ventricular free wall. (RV = right ventricle.) The Annals of Thoracic Surgery 2010 90, 1011-1014DOI: (10.1016/j.athoracsur.2010.02.046) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Cross-section of the tumor mass removed from the right ventricle. The pathology report was consistent with the diagnosis of a fibroma. The Annals of Thoracic Surgery 2010 90, 1011-1014DOI: (10.1016/j.athoracsur.2010.02.046) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions