ISSN: 2578-4633
Authors: Serratos CVF and Serratos FF*
Background: Primary cardiac tumors are a rare disease with an incidence in childhood of 0.27%. 90% of these tumors are benign but by their location and size can be malignant because of the clinical behavior. The most common types are rhabdomyoma, fibroma and myxoma. The Clinical symptoms consist of arrhythmias, heart murmur, and heart failure. Curative treatment is surgical resection. Our main goal is to describe the clinical results in Mexican pediatric patients in whom a primary cardiac tumor was removed. Highlighting the importance of the initial clinical assessment, As well the usefulness of echocardiography in the morphologic diagnosis of primary cardiac tumors in pediatric patients. Material and methods: We included 11 patients with primary cardiac tumor, with indications for surgical treatment due to obstruction and arrhythmias. Results: We found 5 patients with rhabdomyoma, fibroma in 3 patients and 3 patients with myxoma as well. The mortality was 9 % (1 patient), and morbidity was found in 27% (3 patients) secondary to pneumonia. Conclusions: Early diagnosis of primary cardiac tumor allows us a curative surgical treatment of this pathology. The emphasis in the initial clinical assessment and the echocardiography performed by an expert cardiologist and echo cardiographer allow us an accurate cardio anatomic orientation and location of the tumor at the time of echocardiography. According the results presented in this study the frequency of occurrence of this disease is higher on Mexican children population than the reported in the literature and surgical resection have curative results in over 90% of cases.
Keywords: Cardiac Tumors; Echocardiography;Cardiopulmonary Bypass
