Hutchinson J Ciaran, Ashworth Michael T, Sebire Neil J, Arthurs Owen J
Institute of Child Health, UCL, London, UK.
Fetal Diagn Ther. 2017;41(2):157-160. doi: 10.1159/000448708. Epub 2016 Aug 25.
Cardiac rhabdomyoma is the most common tumour of the heart in infancy and childhood, representing approximately 60% of all primary cardiac tumours in these age groups. Though they have a tendency to regress with advancing age and are histologically benign, rhabdomyomas may cause mechanical obstruction to blood flow, arrhythmia, congestive cardiac failure and death and may be associated with underlying genetic syndromes such as tuberous sclerosis. We present the case of a primigravida in her early 20s with no significant medical history who was referred to the Fetal Medicine Unit at 34 weeks' gestation following the detection of an irregular fetal heartbeat. An anomaly scan at 20 weeks had been reported as normal.
心脏横纹肌瘤是婴幼儿期最常见的心脏肿瘤，约占这些年龄组所有原发性心脏肿瘤的60%。尽管它们有随着年龄增长而消退的趋势，且组织学上为良性，但横纹肌瘤可能会导致血流机械性梗阻、心律失常、充血性心力衰竭和死亡，还可能与潜在的遗传综合征如结节性硬化症相关。我们报告一例初产妇，20岁出头，无重大病史，在妊娠34周时因检测到胎儿心律不齐被转诊至胎儿医学科。20周时的一次超声检查报告为正常。
