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Multiple cardiac rhabdomyomas, wolff-Parkinson-white syndrome, and tuberous sclerosis: an infrequent combination
Elena Castilla Cabanes1, Isaac Lacambra Blasco2
1Echocardiography Section, Department of Cardiology, Hospital Clínico Universitario de Zaragoza, Avenida San Juan Bosco 15, 50009 Zaragoza, Spain ; Department of Cardiology, Hospital General Universitario de Elche, Camí de L'Almassera 11, Alicante, 03023 Elche, Spain.
Abstract:
Cardiac rhabdomyomas are benign cardiac tumours and are often associated with tuberous sclerosis. They are often asymptomatic with spontaneus regresion but can cause heart failure, arrhythmias, and obstruction. There have also been a few isolated reports of Wolff-Parkinson-White syndrome occurring in association with tuberous sclerosis and the great majority has been detected in patients with concomitant rhabdomyomas. We report a 12-day-old infant girl with tuberous sclerosis who presented with intraparietal and intracavitary rhabdomyomas with a Wolff-Parkinson-White syndrome (WPW). She represents one of the few published cases of WPW syndrome and tuberous sclerosis and particularly interesting because of intramural rhabdomyomas regression with persistent intracavitary rhabdomyomas after two years of followup.
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