Transient neonatal cyanosis: unusual presentation of right-sided cardiac masses.
We report a case of a neonate with multiple cardiac masses, cyanosis, and a heart murmur. Arterial desaturation was the result of right-to-left shunting at the foramen ovale level caused by tricuspid regurgitation. Three right-sided cardiac masses were detected by echocardiography. By 2 weeks of age the patient had complete resolution of his cyanosis and improved tricuspid regurgitation following the normal decrease in pulmonary vascular resistance. At 2 years of age, he has no cardiovascular symptoms and the masses are calcified and have no hemodynamic consequences.
Mesia
C I
CI
Department of Pediatrics, The Medical College of Virginia of the Virginia Commonwealth University, Richmond, VA 23298-0026, USA.
Forman
A
A
Donofrio
M T
MT
D002114:Calcinosis; D003490:Cyanosis / Q000209:etiology*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009365:Neoplasm Regression, Spontaneous; D011651:Pulmonary Artery / Q000503:physiopathology; D012207:Rhabdomyoma / Q000000981:diagnostic imaging* / Q000473:pathology; D013997:Time Factors; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000503:physiopathology; D014463:Ultrasonography; D014655:Vascular Resistance