engleski

Benign tumors of the heart with a malignant clinical presentation: case report

INTRODUCTION Cardiac tumors may be primary (benign or malignant) or metastatic (malignant). They occur on any kind of heart tissue. Clinically, they presents as asymptomatic or cause a dramatic hemodynamic instability. Can cause obstruction of valvular and ascending - outflow tract, thromboembolism, arrhythmias or pericardial disease . Diagnosis is made by electrocardiography (ultrasound) with biopsy. Treatment of metastatic cancer depends on the type of tumor and its origin with the generally poor prognosis. DISCUSSION We decided to show patients at the age of 18 months, until now a healthy boy born as the second child of healthy parents in healthy family . He was admitted to the pediatric department of our institution in severe general condition, hemodynamically unstable with a pulse to 220/min, low blood pressure 90 / ? , with O2 saturation of 95 % . Electrocardiographic (ECG) was confirmed the persistent ventricular tachycardia and with available antiarrhythmic agents (lidocaine and amiodarone) we try to do a medication conversion to sinus rhythm. The patient does not respond to our therapeutic attempts and we immediately transported him to the nearest clinical facility (KBC Rebro) where they performed cardioversion and successfully translated to sinus rhythm. Parenterally administered with Amidaron and later orally. For the short period of time the hemodynamic instability was pressent which later stabilized with dose of achieved saturation. Later, clinical treatment (heart ultrasound, CT scan, biopsy) confirmed the diagnosis of fibroma of the heart muscle, which failed to be removed during surgery in order to unfavorable anatomical location. In later inspects with the prevention of disorders of complex ventricular arrhythmias with amiodarone, the patient is well with no new clinical manifestations. CONCLUSION : Heart tumors are tumors of low incidence, usually independent of gender. Benign tumors due to the anatomical location knows often increase dramatic clinical picture so we consider them as optional malignant. Echocardiography with computer tomography and biopsy of the lesions represent a diagnostic standard. Treatment of metastatic cancer depends on the type of tumor and its origin with the generally poor prognosis.

benign tumor

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