Case of the Week # 95

Nayana Parange, MD

May 8-23,  2003

India

This patient had a previous normal pregnancy and child. She comes for her second pregnancy for the first visit at 31-32 weeks.

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Answer

This patient had a previous normal pregnancy and child. She comes for her second pregnancy for the first visit at 31-32 weeks. The cardiac views demonstrate several echogenic masses in the heart:

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The great vessels were normal.

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Doppler demonstrated that although some valves were unaffected, others had regurgitation:

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Normal head

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The finding of an echogenic mass in the heart is very characteristic of Rhabdomyoma

The findings were confirmed at birth by Dr Bhaskar Yadav and Dr Satej Janorkar:

global dysfn
dil cardiomyopathy
ivs thick

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