Pediatric Cardiac Tumors Follow-up

Updated: Jan 04, 2016
  • Author: Edwin Rodriguez-Cruz, MD; Chief Editor: Syamasundar Rao Patnana, MD  more...
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Follow-up

Further Outpatient Care

Provide close follow-up care to diagnose recurrence of malignant tumors after resection.

Monitor ventricular function, as well as monitor medication doses and effects.

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Further Inpatient Care

Discharge patients with cardiac tumors when they are stable.

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Inpatient & Outpatient Medications

Medications, when indicated, include digitalis, afterload reduction agents, diuretics, antiarrhythmics, and anticoagulants.

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Complications

Complications include arrhythmia, congestive heart failure (CHF), thromboembolism, decrease in ventricular function, and seeding during surgical removal (metastasis).

For complications related to specific types of cardiac tumors, see Background.

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Prognosis

Studies provide a wide spectrum of morbidity and mortality statistics.

Survival rates depend on the type of tumor, such as the following:

  • Benign tumors have a good prognosis unless they are associated with severe obstruction or intractable arrhythmias, which have a slightly higher risk of mortality.

  • For primary cardiac malignant tumors, the prognosis is invariably poor.

  • Metastatic neoplasms to the heart are more common than primary cardiac neoplasms; the prognosis is dependent on the histologic type of tumor, and survival rates are based on original pathology.

  • Certain tumors are known to recur even after resection.

  • Most children with cardiac tumors have an excellent prognosis and do not need any intervention.

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