PMID- 31988901 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2296-6870 (Electronic) IS - 2296-6870 (Linking) VI - 2 IP - 1 DP - 2017 Jan-Apr TI - Rapid Regression of Obstructive Cardiac Rhabdomyoma in a Preterm Neonate after Sirolimus Therapy. PG - 1-6 LID - 10.1159/000460813 [doi] AB - Cardiac rhabdomyoma can be subclinical or fatal depending on the onset age, involving site, and the size and degree of invasion. Although most rhabdomyomas become smaller with time, emergency intervention is indicated when severe obstruction induces hemodynamic instability. Mammalian target of rapamycin (mTOR) inhibitors have been used to treat neonates and children with hemodynamically obstructive cardiac rhabdomyoma. Herein, we report a premature neonate at the gestational age of 30 + 4 weeks with severe left ventricular outflow tract obstructive cardiac rhabdomyoma who was successfully treated with the mTOR inhibitor sirolimus. To the best of our knowledge, this is the first recorded case of a premature neonate with obstructive cardiac rhabdomyoma who was successfully treated with an mTOR inhibitor. Therefore, sirolimus could be considered as an alternative medical option for managing premature neonates with obstructive cardiac rhabdomyoma. CI - Copyright (c) 2017 by S. Karger AG, Basel. FAU - Lee, Seung Jae AU - Lee SJ AD - Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, South Korea. FAU - Song, Eun Song AU - Song ES AD - Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, South Korea. FAU - Cho, Hwa Jin AU - Cho HJ AD - Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, South Korea. FAU - Choi, Young Youn AU - Choi YY AD - Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, South Korea. FAU - Ma, Jae Sook AU - Ma JS AD - Department of Pediatrics, KS Hospital, Gwangju, South Korea. FAU - Cho, Young Kuk AU - Cho YK AD - Department of Pediatrics, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, South Korea. LA - eng PT - Case Reports DEP - 20170321 PL - Switzerland TA - Biomed Hub JT - Biomedicine hub JID - 101692630 PMC - PMC6945939 OTO - NOTNLM OT - Cardiac rhabdomyoma OT - Left ventricle inlet obstruction OT - Tuberous sclerosis EDAT- 2017/03/21 00:00 MHDA- 2017/03/21 00:01 PMCR- 2017/03/21 CRDT- 2020/01/29 06:00 PHST- 2017/01/25 00:00 [received] PHST- 2017/02/08 00:00 [accepted] PHST- 2020/01/29 06:00 [entrez] PHST- 2017/03/21 00:00 [pubmed] PHST- 2017/03/21 00:01 [medline] PHST- 2017/03/21 00:00 [pmc-release] AID - bmh-0002-0001 [pii] AID - 10.1159/000460813 [doi] PST - epublish SO - Biomed Hub. 2017 Mar 21;2(1):1-6. doi: 10.1159/000460813. eCollection 2017 Jan-Apr.