Prenatal diagnosis of tumour of the foetal heart (rhabdomyoma)
DOI:
https://doi.org/10.18597/rcog.550Keywords:
rhabdomyoma, tuberous sclerosis, arrhythmiaAbstract
Primary heart tumours are rare. Overall incidence ranges from 0.002-0.250% in autopsy. Rhabdomyoma is the most common benign tumour (50-78%); it has 72% associated with tuberous sclerosis. This tumour tends to return in most cases.
Typical symptoms are secondar y to adverse effects caused by left ventricular geometry (cardiac wear and ejection). Hydrops foetalis and arrhythmia often lead to sudden death.
Abnormal atrioventricular (AV) conduction is due to a tumour disrupting nodal or septal conduction tissue. Gestational age has ranged from 22 to 36 weeks when diagnosis has been made. Prognosis is frequently associated with arrhythmia and tuberous sclerosis. Prenatal digitalis therapy and other medications have been tried in cases of foetuses suffering from heart failure or arrhythmia.
The patient’s prior consent has been given here to report a case of antenatal diagnosis of cardiac rhabdomyoma to teach the diagnosis and management of foetuses suffering from this rare pathology.
Author Biography
Juan Carlos Otero
References
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