Fetal rhabdomyoma causing postnatal critical left ventricular outflow tract obstruction.
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We conclude that echocardiographically detected cardiac rhabdomyomata are common in patients with tuberous sclerosis complex, and are more prevalent and prominent in the younger patient. Tumors regress in size or number, or both, in most patients aged < 4 years, and less so in older patients. Cardiac rhabdomyomata are associated with a higher incidence of preexcitation and may increase the risk for arrhythmia.
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A newborn infant presented with a life-threatening cardiac arrhythmia. Echocardiography showed a large cardiac mass growing exophytically in the region of the left atrial appendage extending along the left ventricular wall but showed no clear tissue plane between the mass and the left ventricular wall. Based on the echocardiogram, surgical resection might damage the left ventricular wall. Magnetic resonance imaging demonstrated a clear plane of demarcation, making surgical resection a viable life-saving option.
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