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Asymptomatic cardiac tumour with premature ventricular contraction in an athlete: case report

Part of: Advanced Imaging

Published online by Cambridge University Press:  25 August 2021

Deniz Eriş Open the ORCID record for Deniz Eriş [Opens in a new window]  and
Feyza Ayşenur Paç
Deniz Eriş
Affiliation:
Department of Pediatric Cardiology, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey Department of Pediatric Cardiology, Isparta City Hospital, Isparta, Turkey.
Feyza Ayşenur Paç*
Affiliation:
Department of Pediatric Cardiology, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey Department of Pediatric Cardiology, The University of Yuksek Ihtisas, Ankara, Turkey.
*
Author for correspondence: Dr Feyza Ayşenur Pac, MD, Department of Pediatric Cardiology, The University of Yuksek Ihtisas, P.O. Box 06520, Ankara, Turkey. Tel: +90 505 316 22 27. E-mail: aysepac@gmail.com
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Abstract

Cardiac fibromas are the second most common benign primary tumour of the heart in the children; the clinical features include chest pain, arrhythmia, low cardiac output due to outflow tract obstruction, and sudden cardiac death. Sports are associated with an increased risk for sudden death in athletes who are affected by cardiovascular conditions predisposing to life-threatening arrhythmias. We present a case report of 10-year-old asymptomatic boy who was referred to the paediatric cardiology department by his general practitioner for cardiac examination before participation in competitive sports. The electrocardiogram showed premature ventricular contractions originated from inferior of left ventricle. A mass was detected by 2D transthoracic echocardiography, and it was found to be compatible with fibroma on MRI. In some cases, cardiac tumours are asymptomatic as in our patient. Electrocardiogram abnormalities require detailed cardiac imaging with echocardiogram, and if necessary CT/MRI. In this article, we emphasise that detailed cardiac examination of individuals before participating in competitive sports is vital.

Keywords

Competitive sportsarrhythmiacardiac fibroma
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 4 , April 2022 , pp. 644 - 647
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Cordinhã, C. Asymptomatic cardiac tumor in a child: an incidental diagnosis. Rev Port Cardiol 2011; 30: 795–797. DOI: 10.1016/S2174-2049(11)70028-9.CrossRefGoogle Scholar
Shenthar, J. Clinical presentations, diagnosis, and management of arrhythmias associated with cardiac tumors. J Arrhythmia 2018; 34: 384–393. DOI: 10.1002/joa3.12030.Google Scholar
Steriotis, AK. Noninvasive cardiac screening in young athletes with ventricular arrhythmias. AmJ Cardiol 2013; 111: 557–562. DOI: 10.1016/j.amjcard.2012.10.044.CrossRefGoogle ScholarPubMed
Oomen, A, Dekker, LRC, Meijer, A. Catheter ablation of symptomatic idiopathic ventricular arrhythmias: A five-year single-centre experience. Neth Heart J 2018; 26: 210–216.CrossRefGoogle ScholarPubMed
Rajput, FA, Bishop, MA, Limaiem, F. CardiacFibroma. StatPearls. Treasure Island (FL): StatPearls Publishing, 2021.Google Scholar
Bédard, E, Becker, AE, Gatzoulis, MA. CHAPTER 51 - CardiacTumours. In: Robert H. Anderson, Edward J. Baker, Daniel J. Penny, Andrew N. Redington, Michael L. Rigby (eds). GilWernovsky, GemmaPrice, PaediatricCardiology (Third Edition), Churchill Livingstone, 2010, 1055–1065. https://doi.org/10.1016/B978-0-7020-3064-2.00054-0.CrossRefGoogle Scholar
Zheng, XJ. Left ventricle primary cardiac fibroma in an adult: a case report. Oncol Lett 2018; 16: 5463–5465. DOI: 10.3892/ol.Google Scholar
Maleszewski, JJ, Burke, A. Cardiac tumors: overview and pathology, In: Clinical Cardio-Oncology. Elsevier Inc., 2016: 61–75.CrossRefGoogle Scholar
Shentar, J. Clinical presentations, diagnosis, and management of arrhythmias associated with cardiac tumors. J Arrhythmia 2018; 34: 384–393. DOI: 10.1002/joa3.12030.Google Scholar
Asch, FM, Biegansky, SP, Panza, JA, Weissman, NJ. Real-time 3-dimensional echocardiography evaluation of intracardiac masses. Echocardiography 2006; 23: 218–224. DOI: 10.1111/j.1540-8175.2006.00196.x.CrossRefGoogle ScholarPubMed
Zavaleta, NE, Morales, GH, Vargas-Barro, J, Keirns, C, Fraustro, AA. Three-dimensional transesophageal echocardiography in tumors of the heart. J Am Soc Echocardiogr 2002; 15: 972–979. DOI: 10.1067/mje.2002.121535.CrossRefGoogle Scholar
Yılmaz, R, Demir, AA, Önur, İ, Yılbazbayhan, D, Dursun, M. Cardiac calcified amorphous tumors: CT and MRI findings. Diagn Interv Radiol 2016; 22: 519–524. DOI: 10.5152/dir.2016.16075.CrossRefGoogle ScholarPubMed
Sparrow, PJ, Kurian, JB, Jones, TR, Sivananthan, MU. MR imaging of cardiac tumors. RadioGraphics 2005; 25: 1255–1276. DOI: 10.1148/rg.255045721.CrossRefGoogle ScholarPubMed
Miyake, CY, Del Nido, PJ, Alexander, ME, et al. Cardiac tumors and associated arrhythmias in pediatric patients, with observations on surgical therapy for ventricular tachycardia. J Am Coll Cardiol 2011; 58: 1903–1909. DOI: 10.1016/j.jacc.2011.08.005.CrossRefGoogle ScholarPubMed
Jones, JP, Ramcharan, T, Chaudhari, M, et al. Ventricular fibromas in children, arrhythmia risk and outcomes: a multicentre study. Heart Rhythm 2018; 15: 1507–1512. DOI: 10.1016/j.hrthm.2018.06.018.CrossRefGoogle Scholar
Gaztanaga, L, Marchlinski, FE, Betensky, BP. Mechanisms of cardiac arrhythmias. Rev Esp Cardiol 2012; 65: 174–185. DOI: 10.1016/j.recesp.2011.09.018.CrossRefGoogle ScholarPubMed
Andrikopoulos, GK, Pastromas, S, Tzeis, S. Flecainide: current status and perspectives in arrhythmia management. World J Cardiol 2015; 7: 76–85. DOI: 10.4330/wjc.v7.i2.76.CrossRefGoogle ScholarPubMed