Cardiac Rhabdomyomas in Tuberous Sclerosis Complex

A male infant born at 31 weeks' of gestation and weighing 1700 grams presented with sudden cardiac arrest at the birth hospital. The infant was transferred to the neonatal intensive care unit and cardiology was consulted. Echocardiogram revealed a large echogenic and homogeneous mass in the interventricular septum (Figure, A, B). The infant had poor biventricular function and severe hemodynamic instability complicated by a second cardiac arrest. Cardiothoracic surgery was consulted, but the massive tumor was considered not amenable for surgery.

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