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Monitoring of a paediatric cardiac tumour over 14 years
  1. Saman Zaman,
  2. Sameer Zaman,
  3. Andrew Jabbour
  1. Cardiovascular Magnetic Resonance Unit, Royal Brompton and Harefield NHS Foundation Trust, London, UK
  1. Correspondence to Dr Andrew Jabbour, Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, Sydney Street London, Greater London SW3 6NP; jabbourandrew{at}hotmail.com

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In 1996, a previously well 5 month-old infant presented with ventricular tachycardia requiring cardioversion. Echocardiography revealed a 5 cm myocardial tumour involving the ventricular septum and right ventriclular postero-inferior wall (figure 1A). There was no obstruction to ventricular inflow or outflow, and the patient was managed conservatively (figure 1B, see online supplementary video 1*).

Figure 1

Serial multimodality imaging of cardiac fibroma. An echocardiogram take at 1 year of age demonstrates a large interventricular septal mass (A) which did not obstruct the left ventricular outflow tract (B). Three years later a CT scan of the chest demonstrated little change in size of the mass (C). A decade later, at age 14 years, cardiovascular magnetic resonance demonstrates little change in tumour …

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