Cardiac rhabdomyomas. A case report

Abstract

Cardiac tumors are rare and usually benign, with few cardiac complications; most are asymptomatic but may involve arrhythmias, obstruction of the ventricular outflow tracts and cardiogenic shock leading to fetal hydrops and death. Rhabdomyoma constitutes over 60 % of all cardiac tumors diagnosed in the prenatal and postnatal age. In over 50 % of cases, is the first clinical manifestation of Tuberous Sclerosis (TS) which is a dominant and autosomal genetic condition multisystem involvement. Primiparous patient with ultrasound report of a fetus of 34 weeks gestation, having multiple solid nodules that are located in both cardiac ventricles. The case was studied with ultrasound anatomical detail, fluxometria Doppler color and fetal monitoring was studied. Images were recorded and case follow-up is performed with Doppler echocardiography pre and postnatal color. Brain CT and MRI was performed to rule out brain lesions suggest tuberous sclerosis. The study of fetal cardiac ultrasound has allowed early prenatal diagnosis of cardiac tumors, allowing control of its development and its association with other injuries.