Biventricular repair in a neonate with obstructive inflow cardiac rhabdomyoma and tuberous sclerosis

World J Pediatr Congenit Heart Surg. 2015 Apr;6(2):307-10. doi: 10.1177/2150135114561689.

Abstract

A neonate with prenatally diagnosed large intracardiac rhabdomyomas and suspicion of tuberous sclerosis presented at birth with severe ductal-dependent obstruction at the tricuspid valve and an atrial septal defect (ASD). Biventricular repair at 9 days of life included tumor resection, repair of the posterior leaflet of the tricuspid valve with autologous pericardium, fenestrated ASD closure, and ductus ligation. After an uneventful postoperative recovery, follow-up echocardiography at two months showed excellent results with tricuspid valve competency and normal biventricular function. Overall prognosis will probably depend on issues pertaining to tuberous sclerosis.

Keywords: cardiac tumors; neonate; tricuspid valve.

Publication types

  • Case Reports

MeSH terms

  • Echocardiography
  • Female
  • Fetal Diseases / diagnosis
  • Heart Neoplasms / diagnosis
  • Heart Neoplasms / surgery*
  • Heart Septal Defects, Atrial / surgery*
  • Humans
  • Infant, Newborn
  • Ligation
  • Male
  • Pericardium / transplantation
  • Pregnancy
  • Prenatal Diagnosis
  • Prognosis
  • Rhabdomyoma / diagnosis
  • Rhabdomyoma / surgery*
  • Tricuspid Valve / surgery
  • Tricuspid Valve Stenosis / surgery*
  • Tuberous Sclerosis / complications*
  • Tuberous Sclerosis / diagnosis