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Resection of ventricular rhabdomyomas in infants presenting with cardiac failure
Narendra R Dereddy1, Suvro S Sett, Usha Krishnan
1Department of Pediatrics, Maria Fareri Children's Hospital, Westchester Medical Center, Valhalla, New York, USA.
Insights
Pediatric cardiac rhabdomyomas, common heart tumors in children, can obstruct outflow tracts. Early antenatal diagnosis and surgical intervention in neonates with obstructive rhabdomyomas lead to good outcomes.
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Fetal Medicine
Background:
- Rhabdomyomas are the most frequent cardiac tumors in pediatric patients.
- These tumors can lead to critical obstruction of ventricular outflow tracts, posing a significant clinical challenge.
Observation:
- This report details three neonates diagnosed antenatally with multiple cardiac rhabdomyomas.
- These infants subsequently developed severe obstruction of ventricular outflow tracts after birth.
Findings:
- All three neonates underwent successful surgical resection of the rhabdomyomas during the neonatal period.
- The surgical interventions resulted in favorable clinical outcomes for the affected infants.
Implications:
- Antenatal diagnosis of obstructive cardiac tumors like rhabdomyomas is crucial.
- Early detection facilitates timely planning and execution of necessary interventions, improving neonatal cardiac care.
Abstract:
Rhabdomyomas are the most common cardiac tumours in children. They sometimes cause significant obstruction of the ventricular out flow tracts. We report a series of 3 neonates diagnosed antenatally with multiple rhabdomyomas, who developed significant obstruction of the ventricular outflow tracts following birth. They underwent surgical resection in the neonatal period with good outcome. Antenatal diagnosis of obstructive cardiac tumours allows for planning for appropriate early intervention.
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