Echocardiographic study of cardiac rhabdomyomas from fetuses to children: about a tunisian hospital experience

Abstract

Aim was to report our experience with regard to patients with cardiac rhabdmyomas , focusing on echocardigraphic finding ,cardiac outcome and management Methods Patients with cardiac rhabdomyomas diagnosis were retrospectively analyzed. during the period betwen 2000 and 2017 . Results A total of 17 rhabdomyomas were diagnosed .seven patients were detected prenatally, six patients in the neonatal period and four patient in early infancy. , Tumors were mostly localized in the left ventricle (15/17) , their size ranged from 13*10mm to 55*40mm and it was obstructive in 7 cases. . The tumors were singular in 8 patients and multiple in 9 . We diagnosed tuberous sclerosis (TSC) in 9 babies. we reported 4 deaths , three patients required surgery because of hemodynamic obstruction in two cases and resistant arrythmias in one baby . after a follow up of 45 months , . 5 patients had marked tumor regression and 9 had complete tumor regression ConCLUSION Cardiac rhabdomyoma may have different presentations and clinical course.it thought to be a benign tumor which tend to a spontaneous regression Surgery is only necessary when hemodynamically significant obstruction is present or resistant arrythmia . As these tumors are associated with long-term development of TSC a follow-up was mandatory .