2014, Number 4
<< Back Next >>
Acta Pediatr Mex 2014; 35 (4)
Multiple intracardiac tumors in a neonate. A case report
Valdés-Ramos BD, Pérez-Juárez F, López-Candiani C
Language: Spanish
References: 13
Page: 302-308
PDF size: 825.37 Kb.
ABSTRACT
Intracardiac tumors are uncommon in children, and to a lesser extent in
newborns. Most of these tumors are rabdomiomas, which usually vary
in size and number. The rabdomioma is located most of the times in the
ventricles, and rarely in the atrium. The rabdomiomas can be associated
with tuberous sclerosis from 56% to 86% of the cases.
Nowadays, intracardiac fetal tumors can be detected through prenatal
ultrasound, after the second gestation trimester. The tumor location
and the hemodynamic effects will be the most important aspects that
determine the severity.
Serial prenatal ultrasound monitoring reveals the tumoral growth speed.
It’s believed that, due to an in utero maternal stimulation, an accelerated
growth rate is presented during the second and third trimester, and it
will slow down after the 35th week.
This is a case-report of a patient with the prenatal diagnosis of an intracardiac
mass, referred to the neonatology department of the Instituto
Nacional de Pediatría.
REFERENCES
Cigarroa JA, García Y, Gutiérrez LY, Jiménez S, Martínez A, Ortegón J, et al. Rabdomioma cardiaco tratado quirúrgicamente con éxito y revisión de la literatura. Rev Arch Cardiol Méx 2005;75:S113-S17.
López N, Rodríguez G, 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.
Isaacs H. Fetal and Neonatal Cardiac Tumors. Pediatric Cardiology 2004;25:252-73.
Chao A, Chao, A, Wang T, Chang Y, Chang Y, Hsieh C, et al. Outcome of antenatally diagnosed cardiac rhabdomyoma: case series and a meta-analysis. Utrasound Obstetric Gynecology 2008;31:289-95.
Otero JC. Rabdomioma: Tumor del corazón fetal. Diagnóstico Prenatal. Rev Colombiana Ginecol Obstetr 2005;56(2):176-9.
Staley B, Vail E, Thiele E. Tuberous Sclerosis Complex: Diagnostic Challenges, Presenting Symptoms, and Commonly Missed Signs. Pediatrics 2011;127(1):117-125.
Kaplan J, Ades A, Rychik J. Effect of Prenatal Diagnosis on Outcome in Patients With Congenital Heart Disease. Neoreviews 2005;6:326-331.
Co-Vu J, Ivsic T. Fetal Echocardiography to Diagnose Fetal Heart Disease. Neoreviews 2012;10:590-604.
Gold A. Freeman J. Depigmented Nevi: The Earliest Sign of Tuberous Sclerosis. Pediatrics 1965;35:1003-05.
Hernández J, Morelli J. Birthmarks of Potential Medical Significance. Neoreviews 2003;4:263-69.
Jozwiak S, Kotulska K, Kasprzyk-Obara J, Domanska-Pakiela D, Tomyn-Drabik M, Roberts P. et al. Clinical and Genotype Studies of Cardiac Tumors in 154 Patients With Tuberous Sclerosis Complex. Pediatrics 2006;118:1146-51.
Tiberio D, Franz D, Phillips J. Regression of a Cardiac Rhabdomyoma in a Patient Receiving Everolimus. Pediatrics 2011;127(5):1335-1337.
Krueger DA, Northrup H. International Tuberous Sclerosis Complex Consensus Group. Pediatr Neurol 2013;49(4):255- 265.