Mercan Ilker, Akyüz Muhammet, Isık Onur
Department of Pediatric Heart Surgery, Izmir University Of Health Sciences Tepecik Training And Research Hospital, Sanayi Caddesi No:7 Bornova, İzmir, Turkey.
Indian J Thorac Cardiovasc Surg. 2020 Nov;36(6):649-652. doi: 10.1007/s12055-020-01011-1. Epub 2020 Jul 21.
Cardiac rhabdomyoma is the most common primary heart tumor in childhood. This tumor, which is frequently associated with tuberous sclerosis complex, mostly disappears in childhood with spontaneous regression. Surgical resection is required in case of outflow obstruction and arrhythmia and when protruding to disrupt the filling of the heart cavities. There are very few case series in the literature about rhabdomyoma, whose relationship with other congenital heart defects has not been clearly verified. In this study, we report our approach to the tumor during the corrective surgery of the infant, who was diagnosed with an atrioventricular septal defect and patent ductus arteriosus, and rhabdomyoma accompanying these malformations. We treated this asymptomatic rhabdomyoma with everolimus in line with the current literature, without excision.
心脏横纹肌瘤是儿童期最常见的原发性心脏肿瘤。这种肿瘤常与结节性硬化症相关,大多在儿童期自行消退。出现流出道梗阻、心律失常以及肿瘤突出影响心腔充盈时,则需要进行手术切除。关于横纹肌瘤的文献病例系列非常少,其与其他先天性心脏缺陷的关系尚未得到明确证实。在本研究中,我们报告了对一名诊断为房室间隔缺损和动脉导管未闭且伴有这些畸形的横纹肌瘤的婴儿进行矫正手术时对该肿瘤的处理方法。我们根据当前文献,使用依维莫司治疗这个无症状的横纹肌瘤,未进行切除。