AI Article Synopsis

  • Cardiac myxoma is rare in children but can lead to severe symptoms and even sudden death if untreated.
  • A 9-year-old boy in Indonesia experienced worsening breathing difficulties and was diagnosed with a 3x3.3 cm mass in his left atrium, initially thought to be myxoma.
  • After surgery and successful management, he showed no symptoms or activity limitations in the 6-month follow-up, highlighting the importance of echocardiography in diagnosis and timely intervention for good outcomes.

Article Abstract

Cardiac myxoma is extremely rare in children. However, if not treated immediately, it may cause varying symptoms until sudden death. A-9-years old male Javanese child was brought to the emergency department of Prof. Soekandar General Hospital, Mojokerto with progressive dyspnoea since one month which got worse in the left decubitus position. There was no significant past medical history. Physical examination revealed hypotension, mitral stenosis, tricuspid regurgitation, and pulmonary congestion. Transthoracic echocardiography revealed a round pedunculated 3x3.3 cm mass in the Left Atrium that swingingly moved to the Left Ventricle during diastole. This was diagnosed provisionally as Myxoma with a differential of thrombus. After stabilization, he was referred to a tertiary hospital for emergency excision. Histopathology confirmed the myxoma. There were no symptoms and activity limitations during the 6 months follow-up. To the best of our knowledge, this is the first paediatric cardiac myxoma with Acute Heart Failure symptoms reported in Indonesia. Echocardiography is imperative for diagnosing myxoma. Appropriate and timely management results in an excellent outcome.

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Source
http://dx.doi.org/10.47391/JPMA.S6-ACSA-18DOI Listing

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