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Ann Thorac Surg 2003;75:1306-1308
© 2003 The Society of Thoracic Surgeons

Case report

Cardiac fibroma in an infant: single ventricle palliation as a bridge to heart transplantation

Benjamin R. Waller, MDa, Scott M. Bradley, MDb*, A. Jackson Crumbley, III, MDa,b,c, Henry B. Wiles, MDa, Tim C. McQuinn, MDa, Allan T. Bennett, MDc

b Division of Cardiothoracic Surgery, Charleston, SC, USA
a Division of Pediatric Cardiology, Charleston, SC, USA
c Division of Pathology, Medical University of South Carolina, Charleston, South Carolina, USA

Accepted for publication October 14, 2002.

* Address reprint requests to Dr Bradley, Division of Cardiothoracic Surgery, Medical University of South Carolina, 96 Jonathan Lucas St, Charleston, SC 29425, USA
e-mail: bradlesm{at}musc.edu

A prenatal echocardiogram revealed a large right ventricular mass. Following birth, there was obstruction to pulmonary blood flow and cyanosis. The tumor’s size and location prevented resection. The patient underwent "single ventricle palliation," including placement of a systemic-to-pulmonary shunt as a newborn. This palliation served as a successful bridge to heart transplantation at 7 months of age. Pathologic examination revealed cardiac fibroma.






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