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婴儿心脏横纹肌瘤导致严重右心室流出道梗阻,对西罗莫司快速反应,该婴儿基因检测结节性硬化症结果为阴性。

Rapid response of a cardiac rhabdomyoma causing severe right ventricular outflow obstruction to Sirolimus in an infant with negative genetics for Tuberous sclerosis.

机构信息

Paediatric Cardiology and Congenital Heart Disease in Adults, The Ruth Rappaport Children's Hospital, Rambam Health Care Campus, Haifa3109601, Israel.

Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.

出版信息

Cardiol Young. 2021 Feb;31(2):312-314. doi: 10.1017/S1047951120003819. Epub 2020 Nov 5.

DOI:10.1017/S1047951120003819
PMID:33148352
Abstract

Mammalian target of rapamycin inhibitors was found recently to be an effective treatment for manifestations of Tuberous sclerosis complex, including cardiac rhabdomyomas. Most cases with Cardiac rhabdomyoma treated with mammalian target of rapamycin inhibitors to date were diagnosed with Tuberous sclerosis. We report a case of cardiac rhabdomyoma and severe right ventricular outflow obstruction in a baby with negative genetics for Tuberous sclerosis that responded rapidly to Sirolimus.

摘要

最近发现哺乳动物雷帕霉素靶蛋白抑制剂对结节性硬化症的表现,包括心脏横纹肌瘤,是一种有效的治疗方法。迄今为止,用哺乳动物雷帕霉素靶蛋白抑制剂治疗的大多数心脏横纹肌瘤病例均被诊断为结节性硬化症。我们报告了一例心脏横纹肌瘤和严重的右心室流出道梗阻的婴儿,其结节性硬化症的遗传学检测为阴性,对西罗莫司反应迅速。

相似文献

1
Rapid response of a cardiac rhabdomyoma causing severe right ventricular outflow obstruction to Sirolimus in an infant with negative genetics for Tuberous sclerosis.婴儿心脏横纹肌瘤导致严重右心室流出道梗阻,对西罗莫司快速反应,该婴儿基因检测结节性硬化症结果为阴性。
Cardiol Young. 2021 Feb;31(2):312-314. doi: 10.1017/S1047951120003819. Epub 2020 Nov 5.
2
Everolimus treatment in a 3-month-old infant with tuberous sclerosis complex cardiac rhabdomyoma, severe left ventricular outflow tract obstruction, and hearing loss.婴儿期结节性硬化症合并心脏横纹肌瘤、严重左心室流出道梗阻和听力丧失患儿应用依维莫司治疗。
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Incessant ventricular tachycardia due to multiple cardiac rhabdomyomas in an infant with Tuberous Sclerosis.结节性硬化症婴儿因多发心脏横纹肌瘤导致持续性室性心动过速。
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引用本文的文献

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Everolimus and sirolimus in the treatment of cardiac rhabdomyomas in neonates.依维莫司和西罗莫司用于治疗新生儿心脏横纹肌瘤。
Pediatr Res. 2025 Apr 26. doi: 10.1038/s41390-025-04043-8.
2
Cardiac Rhabdomyomas Presenting with Critical Cardiac Obstruction in Neonates and Infants: Treatment Strategies and Outcome, A Single-Center Experience.新生儿和婴儿中以严重心脏阻塞为表现的心脏横纹肌瘤:单一中心经验的治疗策略和结果。
Pediatr Cardiol. 2024 Jun;45(5):1132-1141. doi: 10.1007/s00246-024-03420-0. Epub 2024 Mar 13.
3
Childhood tuberous sclerosis complex in southern Sweden: a paradigm shift in diagnosis and treatment.
瑞典南部儿童结节性硬化症:诊断和治疗范式的转变。
BMC Pediatr. 2023 Jun 29;23(1):329. doi: 10.1186/s12887-023-04137-4.
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Jpn J Radiol. 2023 May;41(5):477-487. doi: 10.1007/s11604-022-01371-1. Epub 2022 Dec 10.