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Punch-out Lesion Following Regression Of A Large Left Ventricular Outflow Rhabdomyoma

Abu & Ahiri, 2018Other/Unknown

Abu Zahira, I. A., & Nir, A. (2018). Punch-out lesion following regression of a large left ventricular outflow rhabdomyoma. Cardiology in the young, 28(1), 153–154. https://doi.org/10.1017/S1047951117001512

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Abstract

s We report the case of a patient with rhabdomyoma of the left ventricular outflow tract, causing severe obstruction at birth. The tumour regressed completely by 6 years of age, leaving a punch-out lesion. The potential for spontaneous regression of these tumours and the formation of a myocardial lesion following rhabdomyoma regression are discussed.

Case Details

Disease Location

Heart

Personal Characteristics

8-year-old boy

Clinical Characteristics

Patient diagnosed with tuberous sclerosis WHO was born with multiple cardiac rhabdomyomas. At birth, the echocardiogram revealed a large lobulated hyperechogenic mass within the intraventricular septum extending into the left ventricular outflow tract and causing severe flow obstruction

Remission Characteristics

At 6 years of age the tumour in the left ventricular outflow tract had completely disappeared, leaving a punch-out lesion. The other tumours also disappeared, and were replaced by myocardium

Treatment & Mechanisms

Proposed Remission Mechanisms

None reported

Non-Clinical Treatment

None reported