Cardiac fibroma with cardiac arrest: a rare clinical presentation of Gorlin syndrome in an 8-month-old infant

BMJ Case Rep. 2021 Jun 23;14(6):e241519. doi: 10.1136/bcr-2020-241519.

Abstract

Paediatric cardiac tumours are rare, often benign and carry associations with genetic conditions. Cardiac fibromas are mainly composed of fibroblast and connective tissue . They can lead to symptoms due to obstruction of blood flow or arrythmias. In this case, we report an 8-month-old girl child who presented to paediatric cardiology office for cardiac evaluation given a family history of Gorlin syndrome, also known as nevoid basal cell carcinoma syndrome, found to have a large 4×4×6 cm fibroma in the apical lateral free wall of the left ventricle and later presented to the emergency department with cardiac arrest.

Keywords: arrhythmias; cancer—see Oncology; cardiovascular medicine; genetic screening / counselling.

Publication types

  • Case Reports

MeSH terms

  • Basal Cell Nevus Syndrome* / diagnosis
  • Basal Cell Nevus Syndrome* / diagnostic imaging
  • Child
  • Female
  • Fibroma* / complications
  • Fibroma* / diagnostic imaging
  • Fibroma* / surgery
  • Heart Arrest*
  • Heart Neoplasms* / complications
  • Heart Neoplasms* / diagnostic imaging
  • Heart Ventricles
  • Humans
  • Infant