Affiliations: [a] Obstetrics and-Gynecology Department, St Joseph University, Beirut, Lebanon
| [b] Prenatal Unit, Bellevue Medical Center, Hotel-Dieu de France University Hospital, Beirut, Lebanon
| [c] Pediatrics Department, St Joseph University, Beirut, Lebanon
Correspondence:
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Address for correspondence: 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: [email protected].
Abstract: 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.
