Pesonen E, Leijala M, Järvenpää A L, Teramo K
Acta Paediatr Scand. 1985 Sep;74(5):824-7. doi: 10.1111/j.1651-2227.1985.tb10043.x.
Cardiac tumours are rarities in newborn infants. The majority of them are rhabdomyomas as a manifestation of the basic disease-tuberous sclerosis. The clinical picture may vary from serious arrhythmias to A-V valve obstruction and gross myocardial dysfunction. Therefore these patients are extremely poor candidates for invasive diagnostic procedures and surgical treatment. Our patient had intrauterine cardiac arrhythmias, and a prenatal echocardiogram showed features of A-V septal defect malformation. Therefore the echocardiogram was repeated soon after birth and it revealed intracardiac tumours. The patient was operated on the first day of life and four intracavitary tumours were successfully removed.
心脏肿瘤在新生儿中实属罕见。其中大多数是横纹肌瘤，为基础疾病——结节性硬化症的一种表现形式。临床表现可能从严重心律失常到房室瓣梗阻以及严重心肌功能障碍不等。因此，这些患者极不适合进行侵入性诊断程序和手术治疗。我们的患者在子宫内就出现了心律失常，产前超声心动图显示有房室间隔缺损畸形的特征。因此，出生后不久便再次进行了超声心动图检查，结果显示心脏内有肿瘤。该患者在出生第一天接受了手术，成功切除了四个心腔内肿瘤。
