Regression of Cardiac Rhabdomyomas in a Neonate after Everolimus Treatment

Autor: Helen Bornaun, Kazım Öztarhan, Tugba Erener-Ercan, Reyhan Dedeoğlu, Deniz Tugcu, Çiğdem Aydoğmuş, Merih Cetinkaya, Sultan Kavuncuoglu
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Case Reports in Pediatrics, Vol 2016 (2016)
Druh dokumentu: article
ISSN: 2090-6803
2090-6811
DOI: 10.1155/2016/8712962
Popis: Cardiac rhabdomyoma often shows spontaneous regression and usually requires only close follow-up. However, patients with symptomatic inoperable rhabdomyomas may be candidates for everolimus treatment. Our patient had multiple inoperable cardiac rhabdomyomas causing serious left ventricle outflow-tract obstruction that showed a dramatic reduction in the size after everolimus therapy, a mammalian target of rapamycin (mTOR) inhibitor. After discontinuation of therapy, an increase in the diameter of masses occurred and everolimus was restarted. After 6 months of treatment, rhabdomyomas decreased in size and therapy was stopped. In conclusion, everolimus could be a possible novel therapy for neonates with clinically significant rhabdomyomas.
Databáze: Directory of Open Access Journals