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A rhabdomyoma in the right ventricle presenting as hemodynamics of hypoplastic right heart

Published online by Cambridge University Press:  05 August 2020

Daiji Takajo*
Affiliation:
Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
Sanjeev Aggarwal
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI, USA
*
Author for correspondence: Daiji Takajo, Children’s Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI48201, USA. Tel: +1 313 745 1892; Fax: +1 313 993 7118. E-mail: [email protected]

Abstract

Rhabdomyomas are the most common paediatric cardiac tumours. The natural history of these tumours is mostly benign, and the tumour usually regresses spontaneously. Although surgical resection of these tumours is one of the considerations in patients with ventricular outflow obstruction, a palliation with Blalock–Taussig shunt is an alternative approach with the hope of regression of the tumour over time. We report a case of prenatally diagnosed rhabdomyomas in the right ventricle and its outflow presenting as hemodynamic simulating hypoplastic right ventricle in a newborn. She required prostaglandin and Blalock–Taussig shunts palliation for pulmonary flow and subsequent regression of tumours.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Tzani, A, Doulamis, IP, Mylonas, KS, Avgerinos, DV, Nasioudis, D. Cardiac tumors in pediatric patients: a systematic review. World J Pediatr Congenit Heart Surg 2017; 8: 624632. doi: 10.1177/2150135117723904 CrossRefGoogle ScholarPubMed
Obeidat, M, Qawasmeh, Y, Tarawneh, H, Sawalhah, I, Tawalbeh, A. Tuberous sclerosis presenting as neonatal cyanosis because of rhabdomyoma causing tricuspid valve obstruction needing a Blalock-Taussig shunt. J Saudi Hear Assoc 2018; 30: 6668. doi: 10.1016/j.jsha.2017.04.001 CrossRefGoogle ScholarPubMed
El-Segaier, M, Galal, MO. Cardiac rhabdomyoma mimicking haemodynamics of hypoplastic left heart syndrome. Acta Cardiol 2014; 69: 308310. doi: 10.2143/AC.69.3.3027834 CrossRefGoogle ScholarPubMed
Ikemba, CM, Eidem, BW, Dimas, VV, O’Day, MP, Fraser, CD. Fetal rhabdomyoma causing postnatal critical left ventricular outflow tract obstruction. Ann Thorac Surg 2005; 80: 1529. doi: 10.1016/j.athoracsur.2003.10.095 CrossRefGoogle ScholarPubMed
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: 572574. doi: 10.1016/S1569-9293(03)00150-6 CrossRefGoogle Scholar
Fesslova, V, Villa, L, Rizzuti, T, Mastrangelo, M, Mosca, F. Natural history and long-term outcome of cardiac rhabdomyomas detected prenatally. Prenat Diagn 2004; 24: 241248. doi: 10.1002/pd.825 CrossRefGoogle ScholarPubMed