Author + information
- Received March 16, 1983
- Revision received September 26, 1983
- Accepted September 30, 1983
- Published online March 1, 1984.
- Gerald R. Marx, MD*,
- Frederick Z. Bierman, MD, FACC,
- Edward Matthews, MD and
- Roberta Williams, MD, FACC
Intracardiac masses in infancy are uncommon. Tumors, thrombi and vegetations of bacterial endocarditis are exceedingly rare in this age group. These masses are seldom diagnosed before the infant's death.
In a review of two-dimensional echocardiograms performed from May 1979 to January 1981 on 741 infants less than 2 years of age, intracardiac masses were prospectively identified in 6 patients. All six patients presented with unexplained murmurs associated with either hemodynamic instability, arrhythmias or systemic emboli. One patient had a vegetation from bacterial endocarditis, one had an intracardiac thrombus associated with myocarditis, three had rhabdomyomas (two patients with tuberous sclerosis) and one had a fibro-fatty nodule attached to the eustachian valve. Two-dimensional echocardiography not only was important in the diagnosis, but also provided guidance in the medical and surgical treatment of these patients.
↵* Present address and address for reprints: Gerald R. Marx, MD, Department of Pediatrics (Cardiology), University of Arizona, Health Sciences Center, Tucson, Arizona 85724.
This study was supported in part by Grant 5 T 32 HL 0719304 from the National Institutes of Health, Bethesda, Maryland.
- Received March 16, 1983.
- Revision received September 26, 1983.
- Accepted September 30, 1983.
- American College of Cardiology Foundation