2010-11-22-14 Rhabdomyoma © Quiroga www.TheFetus.net
Centro Medico Profesional Rosancar. Barquisimeto. Estado Lara – Venezuela.
This is a case of a 23-year-old G1 P0 who was referred to our antenatal unit at 32 weeks of gestation for evaluation of a cardiac tumor of the fetus. Our ultrasound examination revealed two hyperechoic masses arising from the heart. One of the tumors originated from the interventricular septum and filled the whole left ventricle. The second tumor originated from the free wall of the left ventricle and grew between the heart and the thoracic wall. The whole heart was shifted to the right.
There were no other abnormalities detected during the ultrasound examination.
Patient delivered at 37 weeks of gestation. The neonate underwent cardiac surgery shortly after delivery and unfortunately died during the surgery. The final diagnosis confirmed by pathologist was cardiac rhabdomyoma.
Images 1,2: Images show two large rhabdomyomas (*), one arising from the interventricular septum, filling the left ventricle and the other arising from the free wall of the left ventricle, filling the space between the heart and the thoracic wall, pushing the heart to the right.
Images 3,4: Image 3 shows both rhabdomyomas, the one filling the left ventricle measured 30 x 28 mm. Image 4 shows the rhabdomyoma arising from the interventricular septum, filling the whole left ventricle.
Videos 1,2: Video 1 shows a 4-chamber-view with large rhabdomyomas. Video 2 shows rhabdomyomas and right and left outflow tracts.
Video 3: 4-chamber view showing rhabdomyomas, heart is shifted to the right.