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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

GOMEZ LOPEZ, Enrique. Diagnóstico prenatal de rabdomioma fetal asociado a esclerosis tuberosa. A propósito de un caso. Rev. chil. obstet. ginecol. [online]. 2017, vol.82, n.3, pp.313-321. ISSN 0717-7526.  http://dx.doi.org/10.4067/s0717-75262017000300313.

Rhabdomyomas are the most common benign cardiac tumors found in fetal and postnatal life, frequently being associated with tuberous sclerosis.

In relation to a case handled in our maternity unit in 2014, existing literature on cardiac rhabdomyomas diagnosis, management and prognostic implications, was revised.

The case concerned a 25 week pregnant 23 year old patient, who was referred to our facility; ultrasound examination reveals three cardiac images consistent with rhabdomyomas in the ventricular walls and the septum. No other abnormalities are detected and the patient is monitored with a series of ultrasound.

At 33 weeks a fetal magnetic resonance imaging is performed in order to show signs of tuberous sclerosis which are noted in the examination and confirmed in post natal tests.

Differential diagnosis with other benign cardiac neoplasms such as teratomas, fibromas and hemangiomas is discussed.

Possible complications of the rhabdomyomas will depend on its location and size, producing changes in flow or less frequent arrhythmias.

The most important association of this pathology is with tuberous sclerosis, therefore the family medical history must be carefully evaluated, and imaging controls that should include the CNS, heart and kidneys. Finally in this context give the best counseling to the parents.

Palabras clave : Rhabdomyoma; Tuberous Sclerosis.

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