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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a two-month-old&#44; previously healthy female infant seen in the emergency department with a lower respiratory tract infection&#46; The chest X-ray showed bilateral interstitial peribronchial thickening and an abnormally shaped cardiac silhouette &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#41;&#44; for which she was referred for pediatric cardiology assessment&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The echocardiogram showed a 25&#215;14 mm ovoid&#44; heterogeneous echogenic intramyocardial mass localized to the apical LV lateral wall and also involving the base of the anterolateral papillary muscle&#46; No extension of the mass was evident beyond the myocardium&#44; and there was also no obstruction of the left ventricle inflow or outflow tract or mitral regurgitation &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#46; The electrocardiogram showed abnormal positive T wave in V1 and negative T waves in V2 to V6 and in leads I&#44; II and aVL&#46; No other abnormal findings were found&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">In order to better characterize the mass&#44; cardiac magnetic resonance imaging &#40;CMRI&#41; was performed &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>&#41; which confirmed the presence of an apical intramyocardial heterogeneous mass measuring 30&#215;14 mm extending to the base of the anterolateral papillary muscle&#44; with clear hypoperfusion on first-pass perfusion &#40;FPP&#41;&#44; surrounded by a rim of normally perfused myocardium&#44; isointense on T1-weighted turbo spin-echo imaging &#40;TSE&#41; and slightly hyperintense on T2 TSE&#46; Myocardial delayed enhancement &#40;MDE&#41; showed very strong late gadolinium enhancement&#46; The tissue characteristics were strongly suggestive of a cardiac fibroma&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">Based on these findings and the fact that there were no clinical symptoms or signs of cardiac compromise we opted for a conservative approach&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">At the age of 9 months&#44; follow-up echocardiogram showed that the mass measured 28&#215;19 mm in diameter&#46; The infant remains asymptomatic with normal left ventricle function&#44; no outflow tract obstruction and no mitral valve regurgitation&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0105" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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