2014, Number 1
<< Back Next >>
Rev Ciencias Médicas 2014; 18 (1)
Intracardial tumor in the newborn
Sarmiento PY, Vara COL, Gutiérrez CYM, Crespo CA, Portal MME
Language: Spanish
References: 10
Page: 175-182
PDF size: 263.86 Kb.
ABSTRACT
Introduction: primary cardiac tumors are rare in childhood and mostly benign, the most common being rhabdomyomas, associating more than 60% of patients with
tuberous sclerosis. Most of them tend to regress, but some, depending on their location and clinical manifestations, require surgical treatment.
Case presentation: newborn female, daughter of a mother of 34 years old. Iterated product cesarean birth at 40 weeks, Apgar 9-9, 2800 grams of birth weight. Clinical genetics was tracking during pregnancy by prenatal ultrasound detected in the presence of Intracardial tumor, which was confirmed by postnatal ultrasound performed with a tumor area of 3.5 mm. Intracardial rhabdomyomas diagnosed does not obstruct the outflow tract, with clinical and echocardiography follow-up and monthly favorable.
Conclusions: fetal cardiac tumors are extremely rare. They can be diagnosed by ultrasound from the womb. The recommended expectant attitude is the possibility of spontaneous regression, except in cases with clinical impact. At follow-up, the tuberous sclerosis must be ruled out by its high association with this entity.
REFERENCES
Arnaiz GP, Toledo GI, Borzutzky SA, Urcelay MG, Heusser RF, Garay GF. Comportamiento clínico de los tumores cardíacos desde el feto hasta el adulto: serie multicéntrica de 38 pacientes. Rev. méd. Chile. 2006 Sep; 134(9): 1135- 1145.
Rios J. Mixoma cardíaco con diagnóstico prenatal: Presentación de un caso y revisión de literatura. Rev Med Hered. 2012; 23(4): 247-250.
López N, Rodríguez R, Vegas G, De La Calle M, González A. Tumores cardiacos fetales: diagnóstico ecográfico, evolución y tratamiento. Rev chil obstet ginecol 2011; 76(3): 147-154.
Arango Posada CA. Rabdomiomas cardíacos y Esclerosis tuberosa: Presentación de dos casos en recién nacidos. Arch Med (Manizales). 2012; 12(2): 199-204.
Miranda Chávez I, Muñoz Castellanos L, Buendía Hernandez A, Aranda Faustro A, Erdmenger Orellana J, Ramírez Marroquín Sl. Rabdomioma gigante intracardíaco en la etapa neonatal. Reporte de un caso. Arch. Cardiol. Méx. 2004 Mar; 74(1): 49-52.
Anaya Reyes P, Rodríguez Rábago MJ. Diagnóstico prenatal de rabdomioma cardiaco. Reporte de un caso. Ginecol Obstet Mex 2013; 81: 477-481.
Savío Benavides A, Oliva Rodríguez J, García Morejón C, García Guevara C, Arencibia Faire J, Ponce Bittar J. Diagnóstico ecocardiográfico de los tumores primarios del corazón en el feto. Rev Cubana Pediatr. 2009; 81(4):1-9.
Chao AS, Chao A, Wang TH, Chang YC, Chang YL, Hsieh CC, et al. Outcome of antenatally diagnosed cardiac rhabdomyoma: Case series and a meta-analysis. Ultrasound Obstet Gynecol. 2008; 31: 289-95.
Tejero Hernández MA, Gómez Guzmán E, Tejero Mateos I, Pérez Navero JL, Suarez de Lezo Cruz Conde J. Rabdomioma auricular derecho y syndrome de Wolff- Parkinson-White en una lactante con esclerosis. J an ped. 2009; 1(1):500-2.
Lince Rl, Gómez López de Mesa C, Arteaga Angélica, Montoya J H, Vásquez Luz M. Cardiac rhabdomyoma as manifestation of tuberous sclerosis: Rabdomioma cardiaco como manifestación de esclerosis tuberosa. Presentación de dos casos y revisión de la literatura. 2009 Oct; 16(5): 224-228.