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Revista Colombiana de Cardiología
Print version ISSN 0120-5633
Abstract
DAZA, Juan Felipe Jaramillo and OSORIO, Vanessa Cruz. Fetal rhabdomyoma: prenatal diagnosis and treatment. Rev. Colomb. Cardiol. [online]. 2016, vol.23, n.5, pp.454-454. ISSN 0120-5633. https://doi.org/10.1016/j.rccar.2016.04.001.
Rhabdomyomas are rare tumors, even more so when diagnosed in intrauterine life; their prognosis is variable and etiology remains unknown. Their clinical expression in fetal life is asymptomatic until they develop a catastrophic impairment of severe arrhythmias, hydrops and death. We report a case of a 25 year-old primigravid woman, referred for a fetal cardiac mass, in a fetus where an ultrasound revealed left ventricular echogenic focus without hemodynamic impairment. At birth, resonance evidenced bilateral subependymal nodes. Anticonvulsant drugs were the treatment of choice.
Discussion:
Rhabdomyoma account for 60% of fetal cardiac tumors, followed in frequency by teratomas and fibroids. Associated risk factors are unknown. Diagnosis relies on vision of a 4 D vision camera. Prognosis depends on impairment.
Conclusions:
Severe arrhythmias and hydrops can lead to fetal death as a consequence of cardiac rhabdomyoma. Thus a constant monitoring must be maintained, as well as considering
multiple differential diagnosis.
Keywords : Fetal tumors; Rhabdomyoma; Cardiac tumors; Tuberous sclerosis.
