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The Annals of Thoracic Surgery, Vol 58, 1552-1555, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Surgical treatment for cardiac rhabdomyomas in children

JP Jacobs, AK Konstantakos, FW Holland 2nd, K Herskowitz, PL Ferrer and RA Perryman
Division of Thoracic and Cardiovascular Surgery, University of Miami/Jackson Memorial Medical Center, Florida.

Cardiac rhabdomyomas are the most common cardiac tumor in children. These tumors may cause obstruction to blood flow, valvular insufficiency, and cardiac arrhythmias. We present two cases of cardiac rhabdomyomas in infants that were managed surgically and review the literature. Without surgical intervention, the prognosis for symptomatic cardiac rhabdomyomas is dismal, with eventual death likely due to heart failure or arrhythmias. As our two cases indicate, surgical treatment may improve this prognosis. Pediatric cardiac rhabdomyomas should be resected when the tumors cause hemodynamic compromise or cardiac arrhythmias.

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