2010, Number 4
<< Back Next >>
Acta Pediatr Mex 2010; 31 (4)
Multiple intracardiac rhabdomyomas in a neonate with tuberous sclerosis. Report of a case
Sandra Luz Lizárraga-López, Patricia Zárate-Castañón, Alfredo Bobadilla-Aguirre, Ma Eugenia Melgoza-Arcos
Language: Spanish
References: 11
Page: 153-157
PDF size: 560.47 Kb.
ABSTRACT
Primary cardiac tumors are rare in childhood and are mostly benign (97%). Rhabdomyomas are the most frequent benign primary tumors with an incidence of 45% in autopsy series and 19% clinical series. In the pediatric population it incidence is 0.27%. They are benign tumors in view of their histological features. However, they may give rise to clinical manifestations depending on their location and on the structures they involve, obstruct or invade. They are associated with tuberous sclerosis has been observed up to 81% of the patients. We report a case of a newborn male who presented at birth with congestive heart failure (CHF), bradycardia. He was diagnosed as tuberous sclerosis with intracardiac rhabdomyoma which resolved spontaneously. Patient is currently asymptomatic one year after the initial diagnosis.
REFERENCES
Cigarroa JA, García Y, Gutiérrez LY, Jiménez S, Martínez A, Ortegón J. Rabdomioma cardiaco tratado quirúrgicamente con éxito y revisión de la literatura. Rev Arch Cardiol Méx 2005;75(3):113-7.
Bader R, Chitayat D, Kelly E, Ryan G, Smallhorn JF, Toi A y cols. Fetal rhabdomyoma: Prenatal diagnosis, clinical outcome, and incidence of associated tuberous sclerosis complex. Rev J Pediatr 2003;620-4.
Stiller B, Hetzerb R, Meyerc R, Dittricha S, Peesd C. Primary cardiac tumours: when is surgery necessary? Rev European J Cardio Thorac Surg 2001;1002-6.
Otero JC. Rabdomioma: Tumor del corazón fetal. Diagnóstico Prenatal. Rev Colombiana Ginecol Obstetr 2005;56(2):176-9.
Kiaffas M, Powell AJ, Geva T. Magnetic resonance imaging evaluation of cardiac tumor characteristics in infants and children. Rev Am J Cardiol 2002;89(15):1229-33.
Tworetzky W, McElhinney DB, Margossian R, MoonGrady AJ, Sallee D, Goldmuntz E. Association between cardiac tumors and tuberous sclerosis in the fetus and neonate. Rev Am J Cardiol 2003;92(15):487-9.
Argueta ER, Jiménez JR, Gonzalez MK, Villela C, Cordova N. Masa intracardiaca y taquicardia en un recién nacido. Reporte de un caso. Rev Mex Pediatr 2006;73(4):177-9.
Holley DG, Martin GR, Brenner JI, Fyfe DA, Huhta JC, Kleinman CS y cols. Diagnosis and management of fetal cardiac tumors: A multicenter experience and review of publisher reports. Rev Am College Cardiol 1995;26(2):516-20.
Weiner D, Ewalt D, Roach ES, Hensle TW. The tuberous sclerosis complex: A comprehensive review. Rev Am College Surg 1998;187(5):548-54.
Lendvay T, Marshall F. The tuberous sclerosis complex and its highly variable manifestations. Rev J Urol 2003;169:1635-42.
Nir A, Taik Jamil, Freeman W, Seward JB, Offord KP, Edwards WD y cols. Tuberous sclerosis and cardiac rhabdomyoma. Rev Am J Cardiology 1995;76(15):419-21.