Perinatal outcome in prenatally diagnosed cardiac rhabdomyoma case series

Kesrouani, A., Jaber, L., Daou, L., Mcheik, C., Nasr, B., Saliba, Z. | JNPM 2024;

OBJECTIVE: This study aims to determine the characteristics and outcome of prenatally diagnosed cardiac rhabdomyomas. STUDY DESIGN: This retrospective descriptive study includes cases referred to our university hospital. We studied sonographic characteristics of rhabdomyoma along with the neonatal outcome. RESULTS: Eight cases were included, with a mean gestational age at diagnosis at 31 weeks of gestation and five patients diagnosed after 32 weeks. We noted a male gender in 75%, multiple rhabdomyoma in 50%, mostly situated in the interventricular septum (41%) and valvular regurgitation in 25%. Most patients delivered at term, including five cesareans (62.5%). Six babies survived (75%); three of them were later diagnosed with tuberous sclerosis (50%). CONCLUSION: Cardiac rhabdomyoma have variable ultrasound features. The usual favorable outcome can however be complicated by neonatal death (12%), valvular regurgitation and cerebral tuber.

*Corresponding Author: 

Assaad Kesrouani, MD, Professor (full), Head, Obstetrics and Gynecology Department, St Joseph University, Beirut, Lebanon; Head, Lebanese Perinatology Society. Tel.: +961 3222034; Fax: +961 5464477; E-mail: drkesrouani@gmail.com.