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2010-12-01-14 Cardiac rhabdomyoma © Cuillier www.TheFetus.net
Cardiac rhabdomyoma


Fabrice Cuillier, MD.

 
Service de Gynécologie-Obstétrique, Hôpital Félix Guyon, Saint-Denis de La Réunion, France.


Case report

This is a case of a 36-year-old G3P2, who was referred to our antenatal unit at 34 weeks of gestation. Patient had non-contributive personal or family history. The previous ultrasound was performed at 22 weeks and didn't show any anomalies.
Our ultrasound examination revealed three large, echogenic tumors attached to the left ventricular wall. The right ventricle as well as both outflow tracts appeared normal. At 36 weeks we discovered a small tumor attached to the aortic valve.
Our diagnosis based on the ultrasound examination was cardiac rhabdomyomas.  
We scanned the fetal brain to exclude the presence of "tubers" as a typical sign for Tuberous sclerosis. The brain and rest of the organs looked normal without any anomalies.

Patient decided to continue her pregnancy. Amniocentesis showed normal karyotype. Fetal brain MRI was normal. Patient delivered at term without any complications. The postnatal adaptation was uneventful. The echocardiography confirmed our diagnosis.

Images 1- 4: 34 weeks, images show left ventricle with three rhabdomyomas attached to the ventricular wall.




Images 5,6: 36 weeks, newly developed rhabdomyoma of the aortic valve.



Images 7,8
: 38 weeks, the rhabdomyoma of the aortic valve which has grown in size.



Images 9,10
: Doppler imaging of the aortic outflow.
  


Images 11-13: Echocardiography images after delivery.




Videos 1,2: Video 1 shows cardiac rhabdomyomas. Video 2 shows fetal brain without any abnormality.



Video 3
: Echocardiography performed after delivery.



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