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J Thorac Cardiovasc Surg 2005;130:888-889
© 2005 The American Association for Thoracic Surgery

Brief Communication

Myofibroblastic tumor of the heart: A rare intracardiac tumor

^a Division of Pediatric Cardiac Surgery, Stanford University School of Medicine, Stanford, Calif.
^b Department of Pathology, Stanford University School of Medicine, Stanford, Calif.
^c Division of Pediatric Cardiology, Stanford University School of Medicine, Stanford, Calif.

Received for publication January 19, 2005; accepted for publication February 8, 2005.

^_* Address for reprints: Kimberly Lynn Gandy, MD, PhD, 300 Pasteur Dr, Falk Cardiovascular Research Institute, Stanford University Medical Center, Palo Alto, CA 94305 (Email: kimberly@stanford.edu).

The first 20% of the full text of this article appears below.

Cardiac tumors in infancy are rare, with an incidence of less than 1 in 10,000. The types of cardiac tumors found in adults differ from those found in children, with myxomas being the most common tumors found in adults and rhabdomyomas being the most common tumors found in children. We report a case of a rare intracardiac tumor, an inflammatory myofibroblastic tumor, in a 2-month-old child, this being the eighth reported case in the literature. We also review the differential diagnosis and treatment of cardiac tumors in children, with specific reference to the role of echocardiography.

Clinical Summary

A 2-month-old, asymptomatic 5.6-kg girl had a heart murmur. Preoperative echocardiography documented a solitary 2 x 2.5 cm mass attached to the right atrial free wall (Figure 1, A and C). There was no associated superior or inferior vena caval obstruction, although the tumor appeared to obstruct the tricuspid orifice. No other intracardiac, visceral, or extremity soft tissue masses were appreciated. Our initial diagnosis was that of an atrial myxoma.

View larger version (98K): [in this window] [in a new window]   Figure 1. Echocardiographic analysis and appearance in situ. A, Four-chamber apical view showing a large homogenous tumor occupying the right atrium . . . [Full Text of this Article]

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				K. A. Murdison, S. Septimus, R. E. Garola, and C. Pizarro Intracardiac inflammatory myofibroblastic tumor: a unique presentation Eur. J. Cardiothorac. Surg., April 1, 2007; 31(4): 750 - 752. [Abstract] [Full Text] [PDF]