P0122 / #887: MYXOMA IN YOUNG CHILDREN - CASE REPORT

Abstract

Aims & Objectives: Cardiac tumors are rare in children and may be primary or secondary. with a prevalence of of 0.14% during fetal life Myxoma are extremely rare in children with an incidence of 0 to 5% in this age group so we report one rare case Methods: case report of a child with mixoma Results: 7-year-old female admitted the emergency room with generalized clonic tonic seizure, midazolam and phenytoin were take, and due to the lowering of the sensor, intubation and mechanical ventilation were required. ischemic stroke was observed in CT scan and went to the pediatric intensive care unit (PICU). An echocardiogram was performed showing a mobile mass located in the left atrium, but without immediate conditions of withdrawal due the stroke. Full anti-coagulation indicated for three weeks. The patient had two weeks of ventilation, and epinephrine was required in the first two days, when extubated, motor impairment and speech development were observed. She was discharged on 30 days. Two weeks after, on outpatient return, echocardiographic worsening of the mass was observed, and emergency surgery was indicated. Cardiac surgery was performed and mass was removed and referred for examination. Surgical procedure without complications. She did not need vasoactive drugs extubated in the immediate postoperative period. A control echocardiogram showed no intra-cardiac mass and preserved biventricular systolic function. She was discharged on the 4 th postoperative dayConclusions: Cardiac myxomas usually develop in the left atrium;obstructive symptoms are more rarely in children, which are a rare cause of stroke as in the case described