0
Article |

Cardiac Neoplasm, Tachyarrhythmia, and Anasarca in an Infant FREE

Anne L. Wedemeyer, MD; Volker Breitfeld, MD
[+] Author Affiliations

Received for publication Jan 7, 1974; accepted Oct 1.

Reprint requests to Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr. Wedemeyer).


Am J Dis Child. 1975;129(6):738-741. doi:10.1001/archpedi.1975.02120430070019.
Text Size: A A A
Published online

An infant had supraventricular tachycardia and massive anasarca at birth. The supraventricular tachycardia and congestive heart failure were minimally responsive to medical therapy. At 1 month of age, a diagnosis of atrial and ventricular septal defect was made by cardiac catheterization.

At 5 months of age, at an operation for pulmonary banding, a peculiar neoplasm of the right atrium was noted. On clamping and resection of the neoplasm, the supraventricular tachyarrhythmia reverted to normal sinus mechanism. The neoplasm, by light and electron microscopy, was thought to be a conduction system hamartoma and was thought to have caused the arrhythmia. A review of the literature showed that no such lesions had been reported previously.

REFERENCES

Silber DL, Durnin RE:  Intrauterine atrial tachycardia: Associated with massive edema in a newborn . Am J Dis Child 117:722-726, 1969;.
Hashida Y, Yunis EJ:  Re-examination of encephalitic brains known to contain intranuclear inclusion bodies: Electronmicroscopic observations following prolonged fixation in formalin . Am J Clin Pathol 53:537-543, 1970;.
Scotti TM:  Heart , in Anderson WAD (ed): Pathology . St. Louis, CV Mosby Co, 1971;, pp 589-705.
Fine G:  Neoplasm of the pericardium and heart , in Gould SE (ed): Pathology of the Heart and Blood Vessels . Springfield, Ill, Charles C Thomas Publisher, 1968;, pp 851-883.
Hudson REB: Cardiovascular Pathology . Baltimore, Williams & Wilkins Co, 1970;, pp 868-889.
Willis RA: Pathology of Tumors . New York, Appleton-Century-Crofts Inc, 1967;.
Landing BH, Farber S: Atlas of Tumor Pathology . Washington, DC, Armed Forces Institute of Pathology, 1956;, pp 10-30.
Wenger NK:  Tumors of the heart , in Hurst JW, Logue RB (eds): The Heart . New York, McGraw-Hill Book Co Inc, 1970;, pp 1274-1291.
Prichard RW:  Tumors of the heart: Review of the subject and report of 150 cases . Arch Pathol 51:98-128, 1951;.
James TN:  Anatomy of the human sinus node . Anat Rec 141:109-140, 1961;.
Link to Article
James TN, Sherf L, Fine G, et al:  Comparative ultrastructure of sinus node in man and dog . Circulation 34:139-163, 1966;.
Link to Article
DeHaan R:  Differentiation of the atrioventricular conducting system of the heart . Circulation 24:458-470, 1961;.
Link to Article
Trautwein W, Uchizono K:  Electron microscopic and electron physiologic study of the pacemaker in the sino-atrial node of the rabbit heart . Z Mikrosk Anat Forsch 61:96-109, 1963;.
Link to Article
Copenhaven WM, Truex RC:  Histology of the atrial portions of the cardiac conduction system in man and other mammals . Anat Rec 114:601-626, 1952;.
Link to Article
Meissner WA, Warren S:  Neoplasm , in Anderson WAD (ed): Pathology . St. Louis, CV Mosby Co, 1971;, p 547.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Silber DL, Durnin RE:  Intrauterine atrial tachycardia: Associated with massive edema in a newborn . Am J Dis Child 117:722-726, 1969;.
Hashida Y, Yunis EJ:  Re-examination of encephalitic brains known to contain intranuclear inclusion bodies: Electronmicroscopic observations following prolonged fixation in formalin . Am J Clin Pathol 53:537-543, 1970;.
Scotti TM:  Heart , in Anderson WAD (ed): Pathology . St. Louis, CV Mosby Co, 1971;, pp 589-705.
Fine G:  Neoplasm of the pericardium and heart , in Gould SE (ed): Pathology of the Heart and Blood Vessels . Springfield, Ill, Charles C Thomas Publisher, 1968;, pp 851-883.
Hudson REB: Cardiovascular Pathology . Baltimore, Williams & Wilkins Co, 1970;, pp 868-889.
Willis RA: Pathology of Tumors . New York, Appleton-Century-Crofts Inc, 1967;.
Landing BH, Farber S: Atlas of Tumor Pathology . Washington, DC, Armed Forces Institute of Pathology, 1956;, pp 10-30.
Wenger NK:  Tumors of the heart , in Hurst JW, Logue RB (eds): The Heart . New York, McGraw-Hill Book Co Inc, 1970;, pp 1274-1291.
Prichard RW:  Tumors of the heart: Review of the subject and report of 150 cases . Arch Pathol 51:98-128, 1951;.
James TN:  Anatomy of the human sinus node . Anat Rec 141:109-140, 1961;.
Link to Article
James TN, Sherf L, Fine G, et al:  Comparative ultrastructure of sinus node in man and dog . Circulation 34:139-163, 1966;.
Link to Article
DeHaan R:  Differentiation of the atrioventricular conducting system of the heart . Circulation 24:458-470, 1961;.
Link to Article
Trautwein W, Uchizono K:  Electron microscopic and electron physiologic study of the pacemaker in the sino-atrial node of the rabbit heart . Z Mikrosk Anat Forsch 61:96-109, 1963;.
Link to Article
Copenhaven WM, Truex RC:  Histology of the atrial portions of the cardiac conduction system in man and other mammals . Anat Rec 114:601-626, 1952;.
Link to Article
Meissner WA, Warren S:  Neoplasm , in Anderson WAD (ed): Pathology . St. Louis, CV Mosby Co, 1971;, p 547.

Correspondence

CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.