Sharma J, Inglis S, Cavalieri R, Udom-Rice I
Division of Pediatric Cardiology, Jamaica Hospital Medical Center, 8900, Van Wyck Expressway, Jamaica, NY 11418, USA.
Pediatr Cardiol. 2011 Feb;32(2):243-4. doi: 10.1007/s00246-010-9874-7. Epub 2010 Dec 25.
Rhabdomyoma is the most common cardiac tumor in fetuses, often associated with tuberous sclerosis complex and usually diagnosed in the third trimester of pregnancy, with a benign course in the majority of cases. The hemodynamic impact of cardiac tumor depends on the location and size of the mass and the presence of dysrhythmia (4). Fetal cardiac rhabdomyoma accounts for less than 10% of fetal demise cases (1). This report presents a case of massive cardiac rhabdomyoma filling the entire right heart with pericardial extension, leading to hydrops and subsequent fetal death in the early second trimester of pregnancy.
横纹肌瘤是胎儿最常见的心脏肿瘤，常与结节性硬化症相关，通常在妊娠晚期被诊断出来，大多数病例病程呈良性。心脏肿瘤的血流动力学影响取决于肿块的位置、大小以及心律失常的存在情况（4）。胎儿心脏横纹肌瘤占胎儿死亡病例的比例不到10%（1）。本报告介绍了一例巨大心脏横纹肌瘤病例，该肿瘤充满整个右心并累及心包，导致胎儿水肿，随后在妊娠早期流产。
