Surgical treatment of primary cardiac rhabdomyosarcoma.
The authors report a case of a 16-year-old man who presented progressive dyspnea. At that time the diagnosis of rheumatic fever with mitral valve involvement was performed. The bidimensional echocardiogram showed presence of mobile mass inside the left atrium. The tumor presented lobules, projecting into the left ventricle during the diastole and provoking turbulence. The patient underwent surgical resection with postoperative course needing re-operation for mitral valve replacement. Histopathology has proven that such tumor was a primary cardiac rhabdomyosarcoma and the early clinical diagnosis of rheumatic mitral valve disease was very difficult.
Lima
Ricardo de Carvalho
Rde C
Faculdade de Ciências Médicas, Hospital UniversitárioOswaldo Cruz, Universidade de Pernambuco, Recife, PE, Brasil. rclima@elogica.com.br
Mendes
Adriano
A
Bezerra
Elson
E
Oliveira
Wilson
W
D000293:Adolescent; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D012208:Rhabdomyosarcoma / Q000473:pathology / Q000601:surgery*; D012214:Rheumatic Heart Disease / Q000175:diagnosis