Advertisement

Pediatric Cardiology

, Volume 32, Issue 2, pp 243–244 | Cite as

Fetal Demise Secondary to Massive Rhabdomyoma in the Early Second Trimester of Pregnancy

  • J. SharmaEmail author
  • S. Inglis
  • R. Cavalieri
  • I. Udom-Rice
Images in Pediatric Cardiology

Abstract

Rhabdomyoma is the most common cardiac tumor in fetuses, often associated with tuberous sclerosis complex and usually diagnosed in the third trimester of pregnancy, with a benign course in the majority of cases. The hemodynamic impact of cardiac tumor depends on the location and size of the mass and the presence of dysrhythmia (4). Fetal cardiac rhabdomyoma accounts for less than 10% of fetal demise cases (1). This report presents a case of massive cardiac rhabdomyoma filling the entire right heart with pericardial extension, leading to hydrops and subsequent fetal death in the early second trimester of pregnancy.

Keywords

Cardiac tumor Fetal demise Hydrops Pericardial extension Rhabdomyoma Tuberous sclerosis complex 

Supplementary material

Video clip 1 Four-chamber view showing multiple rhabdomyomas engulfing the majority of the right atrium and ventricle cavities, with moderate pericardial effusion. (AVI 36004 kb)

Video clip 2 Right ventricular outflow Doppler showing nonpulsatile to-and-fro flow and severe mitral regurgitation. (AVI 29254 kb)

Video clip 3 Short-axis view showing a massive tumor obliterating the right heart and severe mitral regurgitation. (AVI 22953 kb)

References

  1. 1.
    Chao AS, Chao A, Wang TH, Chang YC, Chang YL et al (2008) Outcome of antenatally diagnosed cardiac rhabdomyoma: case series and metaanalysis. Ultrasound Obstet Gynecol 31:289–295CrossRefPubMedGoogle Scholar
  2. 2.
    Fesslova V, Villa L, Rizzuti T, Mastrangelo M, Mosca F (2004) Natural history and long-term outcome of cardiac rhabdomyomas detected prenatally. Prenat Diagn 24:241–248CrossRefPubMedGoogle Scholar
  3. 3.
    Gamzu R, Achiron R, Weiner E, Yagel S et al (2002) Evaluating the risk of tuberous sclerosis in cases with prenatal diagnosis of cardiac rhabdomyoma. Prenat Diagn 22:1044–1047CrossRefPubMedGoogle Scholar
  4. 4.
    Lacey SR, Donofrio MT (2007) Fetal cardiac tumours: prenatal diagnosis and outcome. Pediatr Cardiol 28:61–67CrossRefPubMedGoogle Scholar
  5. 5.
    Wortmann SB, Reimer A, Creemers JW, Mullaart RA (2008) Prenatal diagnosis of cerebral lesins in tuberous sclerosis complex: case report and review of the literature. Eur J Paediatr Neurol 12:123–126CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • J. Sharma
    • 1
    • 3
    Email author
  • S. Inglis
    • 2
  • R. Cavalieri
    • 2
  • I. Udom-Rice
    • 2
  1. 1.Division of Pediatric CardiologyJamaica Hospital Medical CenterJamaicaUSA
  2. 2.Division of PerinatologyJamaica Hospital Medical CenterJamaicaUSA
  3. 3.Division of Pediatric CardiologyJamaica Hospital Medical CenterScarsdaleUSA

Personalised recommendations