Cardiac tumor in a newborn: case report

Abstract

Background. The topicality of this work lies in that benign or malignant cardiac tumors are a fairly rare pathology. In children this pathology is represented by benign neoplasms, of which rhabdomyosarcoma accounts for 39.3-58.6% of all cardiac tumors, fibromyosarcoma — for 19%, and other types of cardiac tumors are rarely found. Small-sized rhabdomyosarcoma may undergo spontaneous regression. The most common method of cardiac tumor diagnosis is echocardiography (Echo-CG). Case description. Newborn К., carried to full-term. Heart auscultation had revealed an abnormal systolic murmur. Emergency Echo-CG revealed a voluminous mass of a dual structure, one part of which was located in the interventricular septum (IVS) and the other — in the left ventricular outflow tract (LVOT). This pathology was not found during the prenatal period. The infant was consulted at the Research Center of Cardiovascular Surgery (RC CVS) in Penza where a dynamic follow-up was recommended. Conclusion. This case attests to that the clinical picture of abnormal cardiac masses is nonspecific and requires close medical attention of a neonatologist and a cardiologist, as well as the ultrasound screening during dynamic follow-up of pregnant women.