Article
Fetal cardiac rhabdomyomas treated with maternal sirolimus.
Prenatal diagnosis - 1 Feb 2020
Pluym Ilina D, Sklansky Mark, Wu Joyce Y, Afshar Yalda, Holliman Kerry, Devore Greggory R, Walden Ayanna, Platt Lawrence D, Krakow Deborah
Abstract excerpt
OBJECTIVE: To review the pathophysiology of rhabdomyomas and the emerging option of prenatal treatment of fetal cardiac rhabdomyomas. METHODS: We present a case of fetal rhabdomyomas causing significant hemodynamic compromise that received in utero treatment of maternal sirolimus. Genetic amniocentesis confirmed a TSC2 mutation. A treatment program was initiated with a 10-mg loading dose titrated to a goal...
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