Cardiac rhabdomyomas with atrial septal defect and tricuspid insufficiency: A case report
Chuangyan Wu1, Yixuan Wang1, Wei Su1
1Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Insights
This study details a rare infant case of multifocal cardiac rhabdomyomas without tuberous sclerosis, successfully treated with surgical intervention. The infant showed no recurrence a year post-operation.
Area of Science:
- Cardiology
- Pediatric Oncology
- Cardiac Surgery
Background:
- Primary cardiac tumors are rare, with cardiac rhabdomyomas being the most common type, often associated with tuberous sclerosis.
- Cardiac rhabdomyomas are typically benign but can cause significant complications due to their location and size.
Observation:
- A case of an infant presenting with multifocal cardiac rhabdomyomas, an atrial septal defect, and tricuspid insufficiency is described.
- Notably, the infant showed no clinical signs of tuberous sclerosis.
Findings:
- The infant underwent successful surgical treatment, including mass resection, tricuspid annuloplasty, and patent foramen ovale closure.
- Complete resection of the atrial lesion and partial resection of the right ventricular lesion were achieved.
Implications:
- This case highlights successful surgical management of cardiac rhabdomyomas in an infant without associated tuberous sclerosis.
- It underscores the importance of surgical intervention for symptomatic cardiac rhabdomyomas and suggests a favorable prognosis with complete resection.
Abstract:
Primary cardiac tumors are very rare and generally benign. The most common type, cardiac rhabdomyoma, comprises 45% to 75% of primary cardiac tumors. Cardiac rhabdomyoma is a rare benign tumor that commonly presents with tuberous sclerosis. We present a case of an infant with multifocal cardiac rhabdomyomas with an atrial septal defect and tricuspid insufficiency and no sign of tuberous sclerosis. She was successfully treated with an operation, the treatment plan included mass resection, tricuspid annuloplasty, and closure of the patent foramen ovale. The right atrial lesion was resected entirely, while the lobulated lesion in the right ventricle was resected as two pieces. There was no evidence of recurrence 1 year after the surgery.
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