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Heart 1999;81:92-93 ( January )

Case report

Dystrophic calcification of the fetal myocardium G R Veldtman,a M E C Blackburn,a G A Wharton,a P daCosta,b J L Gibbsa

a Department of Paediatric Cardiology, Yorkshire Heart Centre, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK, b Department of Histopathology, Leeds General Infirmary

Correspondence to: Dr Gibbs.

Accepted for publication 1 June 1998

Intramural cardiac masses were detected antenatally in three fetuses by echocardiography. The masses were initially thought to be rhabdomyomas. All three pregnancies were terminated and histology showed dystrophic calcification in all, with no evidence of tumour. Therefore, dystrophic calcification of the fetal myocardium may have a similar appearance to single or multiple rhabdomyomas. This should be considered when counselling parents after detection of masses in the fetal heart, particularly when considering the risk of associated tuberous sclerosis.

Keywords: fetal myocardium;  dystrophic calcification;  rhabdomyomas;  tuberous sclerosis

© 1999 by Heart


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