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Perinatal outcome in prenatally diagnosed cardiac rhabdomyoma case series
A Kesrouani1,2, L Jaber3, L Daou3
1Obstetrics and-Gynecology Department, St Joseph University, Beirut, Lebanon.
Objective:
This study aims to determine the characteristics and outcome of prenatally diagnosed cardiac rhabdomyomas.
Study Design:
This retrospective descriptive study includes cases referred to our university hospital. We studied sonographic characteristics of rhabdomyoma along with the neonatal outcome.
Results:
Eight cases were included, with a mean gestational age at diagnosis at 31 weeks of gestation and five patients diagnosed after 32 weeks. We noted a male gender in 75%, multiple rhabdomyoma in 50%, mostly situated in the interventricular septum (41%) and valvular regurgitation in 25%. Most patients delivered at term, including five cesareans (62.5%). Six babies survived (75%); three of them were later diagnosed with tuberous sclerosis (50%).
Conclusion:
Cardiac rhabdomyoma have variable ultrasound features. The usual favorable outcome can however be complicated by neonatal death (12%), valvular regurgitation and cerebral tuber.
