Outcome of a Rare Case of Fetal Solitary Cardiac Rhabdomyoma not Associated with Tuberous Sclerosis

Abstract

ABSTRACT At 19 weeks 6 days ultrasonography of a 31-year-old G2P1L1 revealed a small echogenic area seen in the subvalvular apparatus of the mitral valve (anterior mitral leaflet) suggestive of cardiac rhabdomyoma (CR). At 28 weeks of gestation there was mild increase in the size of the CR (13 × 6 mm). There was no evidence of hemodynamic compromise. The interval growth of the fetus was satisfactory. The family tree of three generations was examined and revealed no evidence of Tuberous Sclerosis. She delivered a live 34 weeks 2.2 kg male baby with 8 and 9 Apgar scores at 5 and 10 minutes respectively. Baby suddenly developed cyanosis and died 24 hours after birth. The fetal autopsy confirmed the diagnosis of CR. Genetic analysis of neonatal blood revealed no evidence of TSC mutation suggestive of tuberous sclerosis. How to cite this article Shailaja N, Namrata K, Krishna L, Vanishree, Bhat BS, Kirtan K, Swathi G. Outcome of a Rare Case of Fetal Solitary Cardiac Rhabdomyoma not Associated with Tuberous Sclerosis. Donald School J Ultrasound Obstet Gynecol 2014;8(2):226-228.