Perinatal outcome in prenatally diagnosed cardiac rhabdomyoma case series.

Autor: Kesrouani A; Obstetrics and-Gynecology Department, St Joseph University, Beirut, Lebanon.; Prenatal Unit, Bellevue Medical Center, Hotel-Dieu de France University Hospital, Beirut, Lebanon., Jaber L; Pediatrics Department, St Joseph University, Beirut, Lebanon., Daou L; Pediatrics Department, St Joseph University, Beirut, Lebanon., Mcheik C; Obstetrics and-Gynecology Department, St Joseph University, Beirut, Lebanon.; Prenatal Unit, Bellevue Medical Center, Hotel-Dieu de France University Hospital, Beirut, Lebanon., Nasr B; Prenatal Unit, Bellevue Medical Center, Hotel-Dieu de France University Hospital, Beirut, Lebanon., Saliba Z; Pediatrics Department, St Joseph University, Beirut, Lebanon.
Jazyk: angličtina
Zdroj: Journal of neonatal-perinatal medicine [J Neonatal Perinatal Med] 2023; Vol. 16 (3), pp. 563-567.
DOI: 10.3233/NPM-221186
Abstrakt: Objective: This study aims to determine the characteristics and outcome of prenatally diagnosed cardiac rhabdomyomas.
Study Design: This retrospective descriptive study includes cases referred to our university hospital. We studied sonographic characteristics of rhabdomyoma along with the neonatal outcome.
Results: Eight cases were included, with a mean gestational age at diagnosis at 31 weeks of gestation and five patients diagnosed after 32 weeks. We noted a male gender in 75%, multiple rhabdomyoma in 50%, mostly situated in the interventricular septum (41%) and valvular regurgitation in 25%. Most patients delivered at term, including five cesareans (62.5%). Six babies survived (75%); three of them were later diagnosed with tuberous sclerosis (50%).
Conclusion: Cardiac rhabdomyoma have variable ultrasound features. The usual favorable outcome can however be complicated by neonatal death (12%), valvular regurgitation and cerebral tuber.
Databáze: MEDLINE
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