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New-onset cardiac rhabdomyoma beyond infancy in a patient with tuberous sclerosis complex

Published online by Cambridge University Press:  14 July 2015

Nikhil M. Thatte*
Affiliation:
Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, United States of America
Kristine J. Guleserian
Affiliation:
Division of Pediatric Cardiothoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States of America
Surendranath R. Veeram Reddy
Affiliation:
Division of Cardiology, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, United States of America
*
Correspondence to: N. Thatte, MD, University of Texas Southwestern Medical Center/Children’s Medical Center, 1935 Medical District Drive, Dallas, Texas 75235, United States of America. Tel: +1-214-456-5518; Fax: +1-214-456-2625; E-mail: Nikhil.Thatte@Childrens.com

Abstract

Cardiac rhabdomyomas in patients with tuberous sclerosis complex are usually detected antenatally or during infancy, with subsequent stabilisation or spontaneous regression. Development of a new cardiac rhabdomyoma beyond infancy is very rare. We report a male child who needed resection of a large rhabdomyoma in neonatal life, and then developed a new-onset rhabdomyoma at 2 years of age in a different location, needing another resection. Routine surveillance for cardiac rhabdomyomas in asymptomatic patients with tuberous sclerosis is essential.

Type
Brief Reports
Copyright
© Cambridge University Press 2015 

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References

1. Jóźwiak, S, Kotulska, K, Kasprzyk-Obara, J, et al. Clinical and genotype studies of cardiac tumors in 154 patients with tuberous sclerosis complex. Pediatrics 2006; 118: e1146e1151.CrossRefGoogle ScholarPubMed
2. DiMario, FJ, Diana, D, Leopold, H, Chameides, L. Evolution of cardiac rhabdomyoma in tuberous sclerosis complex. Clin Pediatr (Phila) 1996; 35: 615619.CrossRefGoogle ScholarPubMed
3. Farooki, ZQ, Ross, RD, Paridon, SM, Humes, RA, Karpawich, PP, Pinsky, WW. Spontaneous regression of cardiac rhabdomyoma. Am J Cardiol 1991; 67: 897899.Google Scholar
4. Nir, A, Tajik, AJ, Freeman, WK, et al. Tuberous sclerosis and cardiac rhabdomyoma. Am J Cardiol 1995; 76: 419421.CrossRefGoogle ScholarPubMed
5. Sciacca, P, Giacchi, V, Mattia, C, et al. Rhabdomyomas and tuberous sclerosis complex: our experience in 33 cases. BMC Cardiovasc Disord 2014; 14: 66.CrossRefGoogle ScholarPubMed
6. Smythe, JF, Dyck, JD, Smallhorn, JF, Freedom, RM. Natural history of cardiac rhabdomyoma in infancy and childhood. Am J Cardiol 1990; 66: 12471249.Google Scholar
7. Bosi, G, Lintermans, JP, Pellegrino, PA, Svaluto-Moreolo, G, Vliers, A. The natural history of cardiac rhabdomyoma with and without tuberous sclerosis. Acta Paediatr 1996; 85: 928931.CrossRefGoogle ScholarPubMed
8. Jozwiak, J, Jozwiak, S, Wlodarski, P. Possible mechanisms of disease development in tuberous sclerosis. Lancet Oncol 2008; 9: 7379.CrossRefGoogle ScholarPubMed
9. Kotulska, K, Larysz-Brysz, M, Grajkowska, W, et al. Cardiac rhabdomyomas in tuberous sclerosis complex show apoptosis regulation and mTOR pathway abnormalities. Pediatr Dev Pathol 2009; 12: 8995.CrossRefGoogle ScholarPubMed
10. Schwartz, RA, Fernández, G, Kotulska, K, Jóźwiak, S. Tuberous sclerosis complex: advances in diagnosis, genetics, and management. J Am Acad Dermatol 2007; 57: 189202.CrossRefGoogle ScholarPubMed