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Ann Thorac Surg 1984;37:249-253
© 1984 The Society of Thoracic Surgeons

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Articles

Cardiac Rhabdomyoma in the Neonate: Surgical Management

From the Department of Surgery, Division of Thoracic Surgery, and the Department of Pediatrics, Division of Pediatric Cardiology, Albany Medical Center Hospital and Albany Medical College, Albany, NY

Accepted for publication April 20, 1983.

^* Address reprint requests to Dr. Foster, Department of Surgery, Division of Cardiothoracic Surgery, Room ME 622, Albany Medical College, Albany, NY 12208

Rhabdomyoma is the most common cardiac neoplasm in neonates. Tuberous sclerosis is found in half of the patients with rhabdomyomas. We maintain a surgical policy of accepting for operation only neonates in whom it has been demonstrated that the primary cause for hemodynamic compromise is obstructing, intracavitary neoplasms. Only the intracavitary portions of the rhabdomyoma are excised; no effort is made to completely remove all intramural tumors.

Rhabdomyomas demonstrate benign pathological characteristics and may regress. Neonates with rhabdomyomas but no hemodynamic impairment, or those in whom only intramural masses can be demonstrated, are not considered surgical candidates. Tuberous sclerosis by itself should not be judged a contraindication to operation. The results of our surgical policy regarding rhabdomyomas in neonates are reported in two case presentations.

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