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.

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