Kavgacı Akif, Arı Mehmet Emre
Department of Pediatric Cardiology, Ankara Etlik City Hospital, Ankara, Turkey.
Eur J Pediatr. 2025 May 9;184(6):332. doi: 10.1007/s00431-025-06164-y.
Rhabdomyoma is the most common cardiac tumor in fetuses, frequently associated with tuberous sclerosis complex, particularly in cases with multiple tumors and a positive family history (1). Our aim is to retrospectively evaluate four fetal cardiac rhabdomyoma cases diagnosed via fetal echocardiography, with an emphasis on the importance of early recognition and multidisciplinary postnatal follow-up to better understand the variable clinical course and optimize management strategies.
Cardiac rhabdomyomas require early prenatal recognition and genetic counseling to manage potential cardiac and extracardiac complications. A multidisciplinary follow-up approach enhances postnatal outcomes and informs the management of future pregnancies.
• Fetal cardiac rhabdomyomas are the most common primary cardiac tumors in utero and are often associated with tuberous sclerosis complex.
• This case series highlights the diverse postnatal tumor behaviors-including growth, stability, and regression-emphasizing the need for individualized follow-up.
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，尤其是在有多发性肿瘤和阳性家族史的病例中（1）。我们的目的是回顾性评估通过胎儿超声心动图诊断的4例胎儿心脏横纹肌瘤病例，重点强调早期识别和多学科产后随访的重要性，以更好地了解可变的临床病程并优化管理策略。
心脏横纹肌瘤需要在产前早期识别并进行遗传咨询，以管理潜在的心脏和心脏外并发症。多学科随访方法可改善产后结局并为未来妊娠的管理提供依据。
• 胎儿心脏横纹肌瘤是子宫内最常见的原发性心脏肿瘤，常与结节性硬化症相关。
• 本病例系列突出了产后肿瘤的多种行为，包括生长、稳定和消退，强调了个体化随访的必要性。
