Difficulty of fetal monitoring in a fetus with intracardiac tumors.
Fetal intracardiac tumors are rare but, when present, are a common cause of poor or uninterpretable fetal heart tracings due to fetal arrhythmias. The most frequently encountered tumor, the rhabdomyoma, is associated with tuberous sclerosis. We present a case demonstrating this difficulty of fetal monitoring in a fetus with an arrhythmia later found to be due to multicentric intracardiac rhabdomyomas. The appropriate evaluation and management of such fetal heart tracings are discussed.
Hamner
L H
LH
George Washington University Medical Center, Washington, DC.
Kaye
M F
MF
Weingold
A B
AB
D000328:Adult; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis*; D005318:Fetal Heart; D005323:Fetal Monitoring; D006325:Heart Atria; D006338:Heart Neoplasms / Q000175:diagnosis*; D006340:Heart Rate, Fetal; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011296:Prenatal Diagnosis; D012207:Rhabdomyoma / Q000175:diagnosis*