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Miscellanea
Images in paediatrics
Massive paediatric cardiac tumour: good medium-term outcome
  1. Sian Catherine Chivers,
  2. Thomas Semple,
  3. Nitha Naqvi
  1. Department of Paediatric Cardiology, Royal Brompton Hospital, London, UK
  1. Correspondence to Dr. Nitha Naqvi, Department of Paediatric Cardiology, Royal Brompton Hospital, London SW3 6NP, UK; n.naqvi{at}rbht.nhs.uk

https://doi.org/10.1136/archdischild-2018-315201

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    A 7-week-old boy presented with decreased feeding and tachypnoea. On examination he had a pansystolic murmur and hepatomegaly. Echocardiogram delineated a large cystic tumour attached to the left ventricular myocardium, continuous with the papillary muscles (figure 1A,B).

    Figure 1

    (A) Echocardiography: apical four-chamber view demonstrating extensive tumour within the LV cavity. (B) Echocardiography: short-axis image demonstrating extensive tumour size and heterogeneous tissue types. (C) MRI: minimal enhancement on late gadolinium enhancement. (D) MRI steady-state free precession: heterogeneous signal within the tumour. (E) CT: marked compression of …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.