Journal of Pediatric Cardiology and Cardiac Surgery

Online ISSN: 2433-1783 Print ISSN: 2433-2720
Japanese Society of Pediatric Cardiology and Cardiac Surgery
Japanese Society of Pediatric Cardiology and Cardiac Surgery Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Journal of Pediatric Cardiology and Cardiac Surgery 3(2): 97-102 (2019)
doi:10.24509/jpccs.190204

Case ReportCase Report

Cardiac Fibroma in a Newborn with Down Syndrome

1Department of Pediatrics, Hirosaki University Graduate School of Medicine ◇ Aomori, Japan

2Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine ◇ Aomori, Japan

3Department of Pediatrics, Hachinohe City Hospital ◇ Aomori, Japan

4Division of Nursing Science, Hirosaki University Graduate School of Health Sciences ◇ Aomori, Japan

受付日:2018年9月26日Received: September 26, 2018
受理日:2019年1月30日Accepted: January 30, 2019
発行日:2019年7月1日Published: July 1, 2019
HTMLPDFEPUB3

Down syndrome and cardiac tumor occurring in the same patient is a rare condition. Patients with primary cardiac tumors face an uncertain treatment strategy that ranges from conservative management to aggressive surgical intervention. We report here the case of cardiac fibroma in a newborn with Down syndrome, and we discuss the most appropriate way of making a diagnosis and treatment in patients with cardiac masses. In this case, although the cardiac mass was large, the patient was asymptomatic. We tried to make a definitive diagnosis through the use of magnetic resonance imaging but failed to reveal the diagnosis. Although histologic and immunohistochemical examinations are useful to get a correct diagnosis of the type of tumor and its malignancy, clinicians should keep in mind that open surgical approach can have serious implications that require consideration. Conservative management of cardiac masses in a newborn who is strictly asymptomatic seems to be an acceptable strategy when the risks of surgical intervention outweigh the benefits.

Key words: Down syndrome; cardiac tumor; cardiac fibroma; newborn; biopsy

This page was created on 2019-05-28T11:45:10.548+09:00
This page was last modified on 2019-06-20T16:27:48.000+09:00


このサイトは(株)国際文献社によって運用されています。