title: Surgical treatment of primary cardiac rhabdomyosarcoma.
abstract: 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.
authors.affiliation: Faculdade de Ciências Médicas, Hospital UniversitárioOswaldo Cruz, Universidade de Pernambuco, Recife, PE, Brasil. rclima@elogica.com.br
authors.forename: Ricardo de Carvalho
authors.initials: Rde C
authors.lastname: Lima
authors.forename: Adriano
authors.initials: A
authors.lastname: Mendes
authors.forename: Elson
authors.initials: E
authors.lastname: Bezerra
authors.forename: Wilson
authors.initials: W
authors.lastname: Oliveira
mesh_terms: 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