The Turkish Journal of Pediatrics 2004 , Vol 46 , Num 1
A case of tuberous sclerosis presenting with dysrhythmia in the first day of life

Departments of Pediatrics, Marmara University Faculty of Medicine İstanbul,Turkey

Academic Hospital,İstanbul,Turkey

Florence Nightingale Hospital İstanbul, Turkey

Departments of Radiology, Marmara University Faculty of Medicine İstanbul, Turkey

Abstract

Akalın F, Baysoy G, Öztürk B, Yalçın Y, Ekici G, Yılmaz Y. A case of tuberous sclerosis presenting with dysrhythmia in the first day of life. Turk J Pediatr 2004; 46: 79-81.

Cardiac rhabdomyoma (CR) is the most common primary cardiac tumor in childhood. Although CRs are asymptomatic in many cases, they may cause arrhythmia, heart failure and fetal hydrops. Babies with arrhythmia in the neonatal period must be investigated for structural heart disease including CR. Cardiac rhabdomyoma may either present as an isolated tumor or may be related with tuberous sclerosis. Arrhythmia due to CR may be the initial sign of tuberous sclerosis. We report a case of tuberous sclerosis presenting with ventricular premature beats and second-degree atrioventricular block in the first day of life who was found to have multiple CR during echocardiographic examination. Keywords : arrhythmia in neonates cardiac tumor rhabdomyoma tuberous sclerosis.

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