Skip to main content
Top
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 6/2020

01-11-2020 | Patent Ductus Arteriosus | Case report

Rhabdomyoma association with atrioventricular septal defect in an infant: a rare coincidence

Authors: Ilker Mercan, Muhammet Akyüz, Onur Isık

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 6/2020

Login to get access

Abstract

Cardiac rhabdomyoma is the most common primary heart tumor in childhood. This tumor, which is frequently associated with tuberous sclerosis complex, mostly disappears in childhood with spontaneous regression. Surgical resection is required in case of outflow obstruction and arrhythmia and when protruding to disrupt the filling of the heart cavities. There are very few case series in the literature about rhabdomyoma, whose relationship with other congenital heart defects has not been clearly verified. In this study, we report our approach to the tumor during the corrective surgery of the infant, who was diagnosed with an atrioventricular septal defect and patent ductus arteriosus, and rhabdomyoma accompanying these malformations. We treated this asymptomatic rhabdomyoma with everolimus in line with the current literature, without excision.
Literature
1.
go back to reference Watson GH. Cardiac rhabdomyomas in tuberous sclerosis. Ann N Y Acad Sci. 1991;615:50–7.CrossRef Watson GH. Cardiac rhabdomyomas in tuberous sclerosis. Ann N Y Acad Sci. 1991;615:50–7.CrossRef
2.
go back to reference Jiang ZY, Pircova A, Sekarski N, et al. Transposition of the great arteries, pulmonary atresia, and multiple ventricular septal defects associated with multiple cardiac rhabdomyomas in a case of tuberous sclerosis. Pediatr Cardiol. 2000;21:165–9.CrossRef Jiang ZY, Pircova A, Sekarski N, et al. Transposition of the great arteries, pulmonary atresia, and multiple ventricular septal defects associated with multiple cardiac rhabdomyomas in a case of tuberous sclerosis. Pediatr Cardiol. 2000;21:165–9.CrossRef
3.
go back to reference Hinton RB, Prakash A, Romp RL, Krueger DA, Knilans TK. Cardiovascular manifestations of tuberous sclerosis complex and summary of the revised diagnostic criteria and surveillance and management recommendations from the International Tuberous Sclerosis Consensus Group. J Am Heart Assoc. 2014;3:e001493.CrossRef Hinton RB, Prakash A, Romp RL, Krueger DA, Knilans TK. Cardiovascular manifestations of tuberous sclerosis complex and summary of the revised diagnostic criteria and surveillance and management recommendations from the International Tuberous Sclerosis Consensus Group. J Am Heart Assoc. 2014;3:e001493.CrossRef
4.
go back to reference Nadas AS, Ellison RC. Cardiac tumors in infancy. Am J Cardiol. 1968;21:363–6.CrossRef Nadas AS, Ellison RC. Cardiac tumors in infancy. Am J Cardiol. 1968;21:363–6.CrossRef
5.
go back to reference Tzani A, Doulamis IP, Mylonas KS, Avgerinos DV, Nasioudis D. Cardiac tumors in pediatric patients: a systematic review. World J Pediatr Congenit Heart Surg. 2017;8:624–32.CrossRef Tzani A, Doulamis IP, Mylonas KS, Avgerinos DV, Nasioudis D. Cardiac tumors in pediatric patients: a systematic review. World J Pediatr Congenit Heart Surg. 2017;8:624–32.CrossRef
6.
go back to reference Allan LD, Hornberger LK, Sharland GK. Textbook of fetal cardiology. Greenwich Medical Media; 2000. Allan LD, Hornberger LK, Sharland GK. Textbook of fetal cardiology. Greenwich Medical Media; 2000.
7.
8.
go back to reference Bader RS, Chitayat D, Kelly E, et al. Fetal rhabdomyoma: prenatal diagnosis, clinical outcome, and incidence of associated tuberous sclerosis complex. J Pediatr. 2003;143:620–4.CrossRef Bader RS, Chitayat D, Kelly E, et al. Fetal rhabdomyoma: prenatal diagnosis, clinical outcome, and incidence of associated tuberous sclerosis complex. J Pediatr. 2003;143:620–4.CrossRef
9.
go back to reference Sciacca P, Giacchi V, Mattia C, et al. Rhabdomyomas and tuberous sclerosis complex: our experience in 33 cases. BMC Cardiovasc Disord. 2014;14:66.CrossRef Sciacca P, Giacchi V, Mattia C, et al. Rhabdomyomas and tuberous sclerosis complex: our experience in 33 cases. BMC Cardiovasc Disord. 2014;14:66.CrossRef
10.
go back to reference Aw F, Goyer I, Raboisson M-J, Boutin C, Major P, Dahdah N. Accelerated cardiac rhabdomyoma regression with everolimus in infants with tuberous sclerosis complex. Pediatr Cardiol. 2017;38:394–400.CrossRef Aw F, Goyer I, Raboisson M-J, Boutin C, Major P, Dahdah N. Accelerated cardiac rhabdomyoma regression with everolimus in infants with tuberous sclerosis complex. Pediatr Cardiol. 2017;38:394–400.CrossRef
11.
go back to reference Tiberio D, Franz DN, Phillips JR. Regression of a cardiac rhabdomyoma in a patient receiving everolimus. Pediatrics. 2011;127:e1335–e7.CrossRef Tiberio D, Franz DN, Phillips JR. Regression of a cardiac rhabdomyoma in a patient receiving everolimus. Pediatrics. 2011;127:e1335–e7.CrossRef
Metadata
Title
Rhabdomyoma association with atrioventricular septal defect in an infant: a rare coincidence
Authors
Ilker Mercan
Muhammet Akyüz
Onur Isık
Publication date
01-11-2020

Other articles of this Issue 6/2020

Indian Journal of Thoracic and Cardiovascular Surgery 6/2020 Go to the issue