Cardiac rabdomyoma. Diagnosis problems of fetal and post-natal echocardiography

Introduction: Cardiac tumors are rarely symptomatic and highlighted in the fetus when the size and positi-on do not interfere with intracardiac hemodynamic, tumors can be detected by fetal screening in the first months of gestation or fetal echocardiography perfor-med for suspected congenital cardiac anomalies.

Methods: Presentation of 6 cases of cardiac tumors revealed by fetal echocardiography and confirmed by echocardiography performed during the first 14 days of life

Results: Fetal echo showed: 3-4 intracardiac masses, well circumscribed, round and/or oval, with echogenic appearance increased from normal cardiac structure, 6 -12 mm diameter, located in the IVS and the posteri-or wall of the LV, without significant obstruction of LV outflow tract and suggesting the diagnosis of Cd rhab-domyoma.Post natal clinical exam: only systolic mur-mur, ECG: aspects of age; RxCT: cardiomegaly. Two of cases with normal birth weight, whithout perinatal suffering was later diagnosed with tuberous sclerosis Bourneville requiring pediatric neurology therapy. The cases of rhabdomyoma evolved according to age, without major cardiac distress, with mild involution of tumors size at echocardiography, without complete disappearance.

Conclusions: Fetal echography screening, especially at older age of pregnancy may reveal the presence of car-diac tumors, mainly rhabdomyoama, then confirmed by postnatal echocardiographic exam. Monitoring these tumors in utero and postnatally allows early detection of obstructive disorders, even severe cardiac distress and requiring early cardiac sur-gery.

ISSN – online: 2734 – 6382
ISSN-L 1220-658X
ISSN – print: 1220-658X
The Romanian Journal of Cardiology is indexed by:
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CODE: 379
CME Credits: 10 (Romanian College of Physicians)
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