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Cardiac masses in infants and children

Published online by Cambridge University Press:  19 August 2008

Dante Picarelli*
Affiliation:
From the Divisions of Cardiovascular Surgery, Pediatric Cardiology, the Department of Electrophysiology and the Department of Anesthesiology, Instituto de Cardiologia Infantil, Hospital Italiano, Montevideo
José Victor Nozar
Affiliation:
From the Divisions of Cardiovascular Surgery, Pediatric Cardiology, the Department of Electrophysiology and the Department of Anesthesiology, Instituto de Cardiologia Infantil, Hospital Italiano, Montevideo
Rubén Leone
Affiliation:
From the Divisions of Cardiovascular Surgery, Pediatric Cardiology, the Department of Electrophysiology and the Department of Anesthesiology, Instituto de Cardiologia Infantil, Hospital Italiano, Montevideo
Pedro Duhagón
Affiliation:
From the Divisions of Cardiovascular Surgery, Pediatric Cardiology, the Department of Electrophysiology and the Department of Anesthesiology, Instituto de Cardiologia Infantil, Hospital Italiano, Montevideo
Carlos Peluffo
Affiliation:
From the Divisions of Cardiovascular Surgery, Pediatric Cardiology, the Department of Electrophysiology and the Department of Anesthesiology, Instituto de Cardiologia Infantil, Hospital Italiano, Montevideo
José Luis Montenegro
Affiliation:
From the Divisions of Cardiovascular Surgery, Pediatric Cardiology, the Department of Electrophysiology and the Department of Anesthesiology, Instituto de Cardiologia Infantil, Hospital Italiano, Montevideo
Carlos Zuñiga
Affiliation:
From the Divisions of Cardiovascular Surgery, Pediatric Cardiology, the Department of Electrophysiology and the Department of Anesthesiology, Instituto de Cardiologia Infantil, Hospital Italiano, Montevideo
*
Dr. Dante Picarelli, Instituto de Cardiología Infantil, Hospital Italiano, Umberto 1°, Bulevar Artigas 1632, Montevideo, Uruguay. Tel. (5982) 470416 or 804689; Fax. (5982) 475767.

Summary

We discuss the management of 10 children with cardiac masses produced bytumors, thrombus or vegetations. The ages of the patients ranged from five days to nine years, only two being more than five years old. In all cases, the diagnosis was made by cross-sectional and Doppler echocardiography. Themasses were detected in the chambers of the right heart in five patients, in the left heart in four and on both sides in one patient. Five patients had predisposing factors. The clinical features were variable, but cardiac failure was the most common sign. All the patients underwent emergency surgery. Two patients died during the period of hospitalization and two in the late postoperative period. The six surviving patients are now asymptomatic.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1994

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