Nigerian Journal of Paediatrics (Jul 2024)
Large cardiac rhabdomyoma in two infants; good response to medical management: A brief report
Abstract
Background: Rhabdomyomas are rare tumours in children often associated with tuberous sclerosis. They are usually diagnosed during antenatal period as an incidental finding. Case presentation: The first case is a 2.5-month-old who was diagnosed to have rhabdomyomas at gestational age of 24 weeks. Electrocardiogram revealed left axis deviation and multiple premature atrial contractions. Echocardiography showed massive tumour occupying the right ventricular cavity. Tuberous sclerosis was seen on magnetic resonance imagery. He was commenced on Everolimus with obvious regression of tumour. The second case is an 8-month-old male who was referred to us for cardiac evaluation. Echocardiography showed two masses of rhabdomyoma. He was also placed on Everolimus but was lost to follow up. Conclusion: Rhabdomyomas are rare tumours of the heart which respond well to chemotherapy.
