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Jeffrey P. Jacobs
Anastasios K. Konstantakos
Fred W. Holland, II
Kenneth Herskowitz
Richard A. Perryman
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Ann Thorac Surg 1994;58:1552-1555
© 1994 The Society of Thoracic Surgeons

Articles

Surgical treatment for cardiac rhabdomyomas in children

Jeffrey P. Jacobs, MD, Anastasios K. Konstantakos, BS, Fred W. Holland, II, MD, Kenneth Herskowitz, MD, Peter L. Ferrer, MD, Richard A. Perryman, MD*

Division of Thoracic and Cardiovascular Surgery, University of Miami/Jackson Memorial Medical Center, Miami, Florida USA

* Address reprint request to Dr Perryman, Division of Thoracic and Cardiovascular Surgery (R-114), University of Miami, P.O. Box 016960, Miami, FL. 33101.

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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