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* From the Division of Cardiology (Dr. Krasuski, Hesselson, and Bashore), Department of Medicine, the Department of Cardiothoracic Surgery (Dr. Landolfo), and the Department of Pathology (Dr. Ellington), Duke University Medical Center, Durham, NC.
Correspondence to: Thomas M. Bashore, MD, Box 3012, Duke University Medical Center, Durham, NC 27710; e-mail: TBMD{at}aol.com
Cardiac rhabdomyomas are extremely uncommon in the adult patient. We describe a previously healthy man who presented with ventricular arrhythmias resulting from a right ventricular, cardiac rhabdomyoma. Echocardiography, CT scanning, and MRI are recognized as useful diagnostic modalities for intracardiac lesions. Cardiac catheterization in our patient demonstrated the presence of a tumor blush. This has not previously been reported with cardiac rhabdomyomas. Although lesions may spontaneously regress, surgery is often necessary and frequently resolves the underlying arrhythmia.
Key Words: adult arrhythmia blush cardiac coronary rhabdomyoma spider
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