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Calcifying myocarditis mimicking an intracardiac tumor on fetal echocardiography

Published online by Cambridge University Press:  19 August 2008

Renate Oberhoffer*
Affiliation:
From the Sektion Kinderkardiologie, der Universitaet Ulm, Ulm
Uwe Hillen
Affiliation:
Universitaets-Kinderklinik and the Abteilung Pathologie, der Universitaet Ulm, Ulm
Dieter Lang
Affiliation:
From the Sektion Kinderkardiologie, der Universitaet Ulm, Ulm
*
Correspondence to Dr. Renate Oberhoffer, Sektion Kinderkardiologie, Universitaets-Kinderklinik, Prittwitzstraße 43, 7900 Ulm, Germany. Tel. 0731-502-7706; Fax. 0731-502-7789.

Summary

We report echocardiographic findings of an intracardiac mass in a hydropic fetus who died after four weeks of follow-up. Within that period, the left ventricular myocardium had developed extensive echo-dense patterns suggesting tumorous infiltration. Autopsy revealed extreme calcification of the mitral valve, which had mimicked a tumorous mass on fetal echocardiography. The histological results were consistent with viral myocarditis.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 1993

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References

1.Hamner, LH, Kaye, MF, Weingold, AB. Difficulty of fetal monitoring in a fetus with intracardiac tumors. Obstet Gynecol 1989:73:477481.Google Scholar
2.Kleinman, CS, Donnerstein, RL, Devore, GR, JafFe, CC, Lynch, DC, Berkowitz, RL, Talner, NS, Hobbins, JC. Fetal echocardiography for evaluation of in utero congestive heart failure. New Engl J Med 1982; 306: 568575.CrossRefGoogle ScholarPubMed
3.Keeling, JW, Gough, DJ, Ilif, FP. The pathology of non-rhesus hydrops. Diagn Histopathol 1983; 6: 89111.Google ScholarPubMed
4.Matsuoka, Y, Nakati, T, Kawaguchi, K, Hayakawa, K. Disap pearance of a cardiac rhabdomyoma complicating congenital mitral regurgitation as observed by serial two-dimensional echocardiography. Pediatr Cardiol 1990; 11: 98101.CrossRefGoogle Scholar
5.Reyes, MP, Lerner, AM. Coxsackievirus myocarditis—with special reference to acute and chronic effects. Progr Cardiovasc Dis 1985; 27: 373394.Google Scholar
6.Baker, DA, Phillips, CA. Maternal and neonatal infection with Coxsackievirus. Obstet Gynecol 1980; 55(Suppl): 1215.CrossRefGoogle ScholarPubMed
7.Barson, WJ, Craenen, J, Hosier, DM, Brawley, RL, Hilty, MD. Survival following myocarditis and myocardial calcification associated with infection by Coxsackievirus B4. Pediatrics 1981; 68: 7981.CrossRefGoogle Scholar
8.Goren, A, Kaplan, M, Glaser, J, Isacsohn, M. Chronic neonatal Coxsackie myocarditis. Arch Dis Child 1989; 64: 404406.CrossRefGoogle ScholarPubMed