Neri G, Alitto F, Berzioli M
Ospedale Civile di Montebelluna, Treviso.
G Ital Cardiol. 1988 Dec;18(12):1028-30.
Cardiac rhabdomyomas are the most frequent primary cardiac tumors in infancy and childhood and in about 50% of cases are associated with tuberous sclerosis. They are often responsible for a high mortality rate because of their critical location and extent of involvement. This report describes a patient with tuberous sclerosis and multiple cardiac rhabdomyomas, both intramyocardial and intracavitary--diagnosed by two dimensional and Doppler echocardiography at birth. The infant was followed till nine months of age. To date, the tumors have not increased their size and don't provoke moderate or severe obstruction of blood flow. The child is, at present, free from cardiac signs and symptoms, and does not take digitalis or diuretics. We have not detected any arrhythmias. Two-dimensional and Doppler echocardiography are very useful non-invasive techniques in the diagnosis and longitudinal follow-up of patients with cardiac rhabdomyomas.
心脏横纹肌瘤是婴幼儿期最常见的原发性心脏肿瘤,约50%的病例与结节性硬化症相关。由于其关键位置和受累范围,它们常导致高死亡率。本报告描述了一名患有结节性硬化症和多个心脏横纹肌瘤的患者,包括心肌内和心腔内的横纹肌瘤,出生时通过二维和多普勒超声心动图诊断。该婴儿随访至9个月大。迄今为止,肿瘤大小未增加,也未引起中度或重度血流梗阻。目前,该患儿无心脏体征和症状,未服用洋地黄或利尿剂。我们未检测到任何心律失常。二维和多普勒超声心动图是诊断和长期随访心脏横纹肌瘤患者非常有用的非侵入性技术。