Young Boy with Cardiac Tumor

Young Boy with Cardiac Tumor

A young boy was referred because of recurrent syncope.

He had been investigated one year ago because of syncope at school. At echocardiography a large mass was detected below LV compressing it but not compromising its function. Surgical exploration showed a tumor at inferior part of LV . Pathology reported a benign fibromuscular tumor. Amiodarone was prescribed and he was followed by serial echocardiography with no change in the size of the tumor.

Syncopal episodes, however, continued and a sustained VT was documented during one of the episodes. Interestingly VT originated from the inferior part of LV. ECG showed a mildly prolonged QT interval and poor R progression in right precordial leads . Frequent non-sustained runs and salvos were detected by Holter monitoring.

A single chamber ICD was implanted at left subpectoral area . During over one year of follow-up he has had ICD pacing therapies for VT and one inappropriate therapy for sinus tachycardia but no more syncope episodes.

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Copyright © 2002 Iranian Electrophysiology Organization