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Critical obstruction of the right ventricular outflow tract by a primary hemangioendothelioma in a seven month old

Published online by Cambridge University Press:  19 August 2008

Hilary A. Robinson
Affiliation:
Department of Paediatric Cardiology, Southampton University Hospitals Trust, Southampton, UK
Barry R. Keeton*
Affiliation:
Department of Paediatric Cardiology, Southampton University Hospitals Trust, Southampton, UK
Isabella E. Moore
Affiliation:
Department of Paediatric Cardiology, Southampton University Hospitals Trust, Southampton, UK
*
Dr. B. R. Keeton, Department of Paediatric Cardiology, Southampton General Hospital, Shirley, Southampton, Hants SO16 6YD, UK. Tel: 01703-796230; Fax: 01703 794526; E-mail: [email protected]

Abstract

A 7-month-old presented with failure to thrive and a murmur. Echocardiography demonstrated a large mass in the right ventricular outflow tract, extending through the pulmonary valve. During anaesthetic induction this caused critical obstruction of the outflow tract and cardiac arrest. Pathological diagnosis showed the lesion to be a primary hemangioendothelioma. Despite surgical excision and steroid therapy, the mass continued to grow for a period of 8 weeks, but then began to regress spontaneously.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1999

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References

1.Hwa, J, Ward, C, Nunn, G, Cooper, S, Lau, K-C, Sholler, G. Primary intraventricular cardiac tumors in children: contemporary diagnostic and management options. Paediatric Cardiology 1994; 15: 233237.CrossRefGoogle ScholarPubMed
2.McAllister, HA Jr, Fengoli, JJ Jr Tumors of the cardiovascular system. In: Atlas of Tumor Pathology (2nd Series). Fasicle 15. Armed Forces Institute of Pathology. Washington DC, 1978.Google Scholar
3.Avery, JB. Tumours of the Heart and Pericardium in Cardiovascular. Pathology in Infants and Children. W.B. Saunders, Philadelphia, 1984.Google Scholar
4.Burke, A, Virmani, R. Tumors of the Heart and Great Vessels. In: Atlas of Tumor Pathology, Armed Forces Institute of Pathology. Washington DC. 1996: 8089.Google Scholar
5.Weiss, SW, Enzinger, FM. Epithelioid hemangioendothelioma, a vascular tumor often mistaken for a carcinoma. Cancer 1982; 50: 970981.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
6.Mentzel, T, Beham, A, Calonje, E, Katenkamp, D, Fletcher, CDM. Epithelioid hemangioendothelioma of the skin and soft tissues: clinicopathologic and immunohistochemical study of 30 cases. American Journal of Surgical Pathology 1997; 21(4): 363374.CrossRefGoogle ScholarPubMed
7.Chang, J-S, Young, M-L, Chuu, W-M, Lue, H-C. Infantile cardiac hemangioendothelioma. Paediatric Cardiology 1992; 13: 5255.CrossRefGoogle Scholar
8.Kuo, T-T, Hueh, S, Su, IJ, Gonzalez-Crussi, F, Chen, JS. Histiocytoid hemangioma of the heart with peripheral eosinophilia. Cancer 1985; 55: 28542861.3.0.CO;2-F>CrossRefGoogle ScholarPubMed
9.Marchiano, D, Fisher, F, Hosstetter, S. Epithelioid hemangioendothelioma of the heart with distant metastases. Journal of Cardiovascular Surgery 1993; 34: 529533.Google ScholarPubMed