Pediatric Cardiac Tumors

Cardiac tumors in children are rare, are more commonly benign. Rhabdomyoma, tetratoma, and fibroma are the most common tumors in fetuses and neonates. Sarcomas are the most common primary malignant Cardiac tumors in both children and adults. Patients with cardiac tumors can be asymptomatic or may be present with murmur, arrhythmia, heart failure and sudden death. Echocardiography is the primary modality for evaluation of symptomatic patients. Cardiac magnetic resonance imaging provides further characterization of Cardiac masses and tumors for diagnostic purposes and can be used to access cardiac and extracardiac involvement for treatment planning. Treatment varies from conservative management or surgical resection to transplantation depending on the diagnosis and the patient’s symptoms. Rhabdomyoma typically regress spontaneously during early childhood and does not require surgical intervention if asymptomatic. However, fibroma is generally resected because it does not regress. An understanding of the types of cardiac tumors that occur in infants and children, their clinical implications and associations, and their imaging appearances will facilitate patient management.   

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