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Giant left ventricular rhabdomyoma treated successfully with everolimus: case report and review of literature

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Abstract Introduction Intracardiac rhabdomyomas can cause severe ventricular dysfunction and outflow tract obstruction. Case report A term newborn infant with antenatal diagnosis of giant left ventricle rhabdomyoma presented with cardiac… Click to show full abstract

Abstract Introduction Intracardiac rhabdomyomas can cause severe ventricular dysfunction and outflow tract obstruction. Case report A term newborn infant with antenatal diagnosis of giant left ventricle rhabdomyoma presented with cardiac failure and duct-dependent systemic circulation after birth. She was treated successfully with everolimus, showing decrease in tumour size and improvement in left ventricular ejection fraction. Discussion Tumour regression rate was 0.32 cm2/day and improved to 0.80 cm2/day with the use of everolimus. Herein we report a newborn with inoperable giant left ventricular cardiac rhabdomyoma and significant regression of the tumour. To our knowledge, this is the largest left ventricular rhabdomyoma reported. A review of the literature was undertaken for comparison. Conclusion Everolimus has proven to be efficacious in size reduction of cardiac rhabdomyomas in cases when surgical resection is not possible.

Keywords: treated successfully; rhabdomyoma; giant left; left ventricular; case report

Journal Title: Cardiology in the Young
Year Published: 2018

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