DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20204555

Huge cardiac rhabdomyoma in neonate: an unusual presentation

Rajkumar M. Meshram, Suraj P. Gondase, Abhishek Denge, Nayan Kamble

Abstract


Cardiac rhabdomyoma is the most common primary cardiac tumor in neonatal age group. A full term male neonate, whose antenatal ultrasound revealed mass in foetal heart, became symptomatic on day two of life. Echocardiography revealed pericardial mass with global left ventricular hypokinesia. Diagnosis was confirmed by histopathological examination of autopsy specimen. Due to social stigma, encouragement of the parents for clinical autopsy was of prime importance for definitive diagnosis and preventive measures in future pregnancies.


Keywords


Cardiac tumors, Echocardiography, Rhabdomyoma, Tuberous sclerosis

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References


Isaacs H. Fetal and neonatal cardiac tumors. Pediatr Cardiol. 2004;25(3):252-73.

Thomas-de-Montpreville V, Nottin R, Dulmet E, Serraf A. Heart tumors in children and adults: clinicopathological study of 59 patients from surgical centre. Cardiovasc Pathol. 2007;16(1):22-8.

Song E, Jeong K, Kim G, Hwang IJ, Lee Mi-Ji, Cho HJ, et al. Spontaneous regression of cardiac rhabdomyoma presenting as severe left ventricular inlet obstruction in neonate with tuberous sclerosis. Case Rep Cardiol. 2018;2018:8395260.

Kutluk T, Demir HA, Buyukpamukcu M, Ozkutlu S, Akyuz C, Varan A, et al. Cardiac rhabdomyomas in childhood: six cases from a single institution. Turk J Pediatr. 2013;55(1):66-93.

Kwiatkowska J, Waldoch A, Meyer-Szary J, Potaz P, Grzybiak M. Cardiac tumors in children: a 20-year review of clinical presentation, diagnosis and treatment. Adv Clin Exp Med. 2017;26(2):319-26.

Boyacioglu K, Adnan AK, Donmez AA, Cayhan B, Aksut M, Tuncer MA. Primary non-myxoma cardiac tumors. Braz J Cardiovascular Surg. 2018;33(2):162-8.

Pandey M, Dutta R, Kothari SS. Massive biventricular rhabdomyoma in neonate. Ann Pediatr Card. 2017;10(2):218-9.

Ibrahim CPH, Thakker P, Miller PA, Barron D. Cardiac rhabdomyoma presenting as left ventricular outflow tract obstruction in a neonate. Interact Cardiovasc Thorac Surg. 2003;2:572-4.

Chitra N, Vijayalakshmi IB, Manjunath CN. Gaint left ventricular cardiac tumor in a neonate. J Indian Acad Echocardiogr Cardivasc Imaging. 2017;1(3): 225-7.

Bornaun H, Oztarhan K, Erener-Ercan T, Dedeoglu R, Tugcu D, Aydogmus C, et al. Regression of cardiac rhabdomyomas in a neonate after Everolimus treatment. Case Rep Pediatr. 2016;2016:8712962.

Chinawa JM, Garekar S, Trivedi B. Large cardiac rhabdomyoma in two infants: good response to medical management-a brief report. Nig J Cardiol. 2017;14(2):106-8.

Demir HA, Ekici F, Erdem AY, Emir S, Tunc B. Everolimus: a challenging drug in the treatment of multifocal inoperable cardiac rhabdomyoma. Pediatrics. 2012;10(1):e243-7.