Document Detail

Paroxysmal supraventricular tachycardia in neonatal tuberous sclerosis complex and cardiac rhabdomyoma: report of one case.
MedLine Citation:
PMID:  12845856     Owner:  NLM     Status:  MEDLINE    
Cardiac rhabdomyoma, the most common cardiac tumor of infant and child, has been known to be associated with tuberous sclerosis complex. However, tuberous sclerosis complex with fetal supraventricular tachycardia is rarely reported. Herein, we report a female neonate diagnosed as tuberous sclerosis complex with cardiac rhabdomyoma presenting as supraventricular tachycardia. The newborn infant was initially treated with vagal maneuver, adenosine push, and digoxin. Although the tachycardia converted into normal sinus rhythm, frequent recurrence of PSVT was noted. At 16 days of age, the recurrent supraventricular tachycardia was refractory to vagal maneuver and drug therapy. Direct-current synchronized cardioversion converted the arrhythmia to normal sinus rhythm and oral digoxin effectively controlled the condition of the patient without further PSVT attacks. Subsequent 9-month follow-up revealed no further attack of arrhythmia. Regression of cardiac rhabdomyoma has not been visualized on echocardiogram at 9 months old.
Hung-Rong Yen; Shih-Ming Chu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta paediatrica Taiwanica = Taiwan er ke yi xue hui za zhi     Volume:  44     ISSN:  1608-8115     ISO Abbreviation:  Acta Paediatr Taiwan     Publication Date:    2003 Mar-Apr
Date Detail:
Created Date:  2003-07-08     Completed Date:  2003-10-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100958202     Medline TA:  Acta Paediatr Taiwan     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  112-5     Citation Subset:  IM    
Department of Pediatrics, Chang Gung Children's Hospital, No. 5, Fu-Shin Street, Kweishan, Taoyuan 333, Taiwan.
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MeSH Terms
Heart Neoplasms / complications*,  ultrasonography
Infant, Newborn
Rhabdomyoma / complications*,  ultrasonography
Tachycardia, Paroxysmal / drug therapy,  etiology*
Tachycardia, Supraventricular / drug therapy,  etiology*
Tuberous Sclerosis / complications*

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