Spontaneous Regression Of Cardiac Rhabdominalom-year-old Malea Presenting As Severe Left Ventricular Inlet Obstruction In A Neonate With Tuberous Sclerosis
Song, Eun Song, Jeong, Kumi, Kim, Gun, Hwang, In Ji, Lee, Mi-Ji, Cho, Hwa Jin, Cho, Young Kuk, spontaneous Regression of Cardiac Rhabdominalom-year-old malea Presenting as Severe Left Ventricular Inlet Obstruction in a Neonate with Tuberous Sclerosis, Case reports in Cardiology, 2018, 8395260, 5 pages, 2018. https://doi.org/10.1155/2018/8395260
View Original Source →Case Details
Disease Location
Anterior leaflet of mitral valve
Personal Characteristics
Male infant (39 weeks gestation)
Clinical Characteristics
Fetal echocardiogram revealed large solitary lv mass & multiple right ventricular masses (39 weeks gestation) chest x-ray showed mild cardiomegaly with increased pulmonary vascular markings tumor attached to anterior leaflet of mv causing lv inlet obstruction paroxysmal supraventricular tachyarrhythmia (240 bpm) developed genetic analysis performed to detect mutations of tuberous sclerosis complex 1/2 genes (tsc2 mutation present)
Remission Characteristics
During 2 week hospital stay, bp maintained, tachycardia improved, weight gain observed follow-up chest x-ray showed regression of cardiomegaly & vascular markings follow-up echocardiography demonstrated decreased mr & normal systolic lv function 40 days of age, symptoms associated with lv inlet obstruction & tachyarrhythmia absent 6 mths age, echocardiography revealed further decrease in rhabdominalom-year-old malea size
Treatment & Mechanisms
Clinical Treatment
Repeated doses of adenosine administered intravenously to restore sinus rhythm digoxin to prevent arrythmias