{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:43:18Z","timestamp":1756464198163,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,26]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Primary cardiac tumours are relatively rare in the paediatric population, with benign tumours accounting for &gt;90% of cases. Cardiac fibromas are rare primary tumours that typically reside in the ventricles. Symptoms are usually the result of blood outflow obstruction or disruption of the cardiac conduction system. They do not typically regress and usually require surgical intervention. In this case, we report a rare finding of a right atrial fibroma in an 18-month-old female who presented with lethargy and vomiting. Chest X-ray revealed an enlarged cardiac silhouette, and follow-up CT showed a 3.7\u00d73.2\u00d73.7\u2009cm hypodense lesion in the right atrium. Cardiac MRI revealed the diagnosis, which was confirmed on pathology.<\/jats:p>","DOI":"10.1136\/bcr-2019-230333","type":"journal-article","created":{"date-parts":[[2019,9,6]],"date-time":"2019-09-06T05:05:29Z","timestamp":1567746329000},"page":"e230333","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Utility of cardiac imaging in diagnosis of atypical presentation of cardiac fibroma"],"prefix":"10.1136","volume":"12","author":[{"given":"Catalina","family":"Flores","sequence":"first","affiliation":[{"name":"Phoenix Regional Campus, School of Medicine, Creighton University, Phoenix, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaclyn","family":"Lundberg","sequence":"additional","affiliation":[{"name":"Phoenix Regional Campus, School of Medicine, Creighton University, Phoenix, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randy R","family":"Richardson","sequence":"additional","affiliation":[{"name":"Phoenix Regional Campus, School of Medicine, Creighton University, Phoenix, AZ, USA"},{"name":"Department of Radiology, St Joseph\u2019s Hospital and Medical Center, Phoenix, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Child Health, Banner Desert Medical Center\/Cardon Children\u2019s Medical Center, Mesa, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,9,5]]},"reference":[{"key":"2025082709462018000_12.9.e230333.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.10.020"},{"key":"2025082709462018000_12.9.e230333.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(97)70032-2"},{"key":"2025082709462018000_12.9.e230333.3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(68)90140-9"},{"key":"2025082709462018000_12.9.e230333.4","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2002.00734.x"},{"key":"2025082709462018000_12.9.e230333.5","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1111\/j.1747-0803.2008.00232.x","article-title":"Right atrial fibroma requiring emergent intervention in an 8-week-old infant","volume":"4","author":"Oster","year":"2009","journal-title":"Congenit Heart Dis"},{"key":"2025082709462018000_12.9.e230333.6","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4103\/aca.ACA_121_17","article-title":"Right atrial fibroma in an adult patient","volume":"21","author":"Heidari","year":"2018","journal-title":"Ann Card Anaesth"},{"key":"2025082709462018000_12.9.e230333.7","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.jcma.2013.06.002","article-title":"Primary cardiac fibroma in an infant: computed tomography and magnetic resonance imaging findings","volume":"76","author":"Liu","year":"2013","journal-title":"J Chinese Med Assoc"},{"key":"2025082709462018000_12.9.e230333.8","unstructured":"Hoey ETD , Mankad K , Puppala S , et al . PICTORIAL REVIEW MRI and CT appearances of cardiac tumours in adults."},{"key":"2025082709462018000_12.9.e230333.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.05.027"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230333","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:46:31Z","timestamp":1756313191000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230333"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":9,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,9,5]]},"published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1136\/bcr-2019-230333"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230333","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}