Rapid Regression of Prenatally Identified Intrapericardial Giant Rhabdomyomas with Sirolimus

Figures

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  Figure 1. A fetal apical four-chamber view showing large intrapericardial tumors and a pericardial effusion.

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  Figure 2. A fetal short-axis view demonstrating a large tumor encompassing the left ventricular free wall.

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  Figure 3. Postnatal transthoracic apical four-chamber view demonstrating giant rhabdomyomas on the exteriors of the left and right ventricular free walls as well as smaller rhabdomyomas in the septum.

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  Figure 4. Postnatal parasternal short-axis view showing giant rhabdomyomas encompassing the ventricles with a small pericardial effusion.

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  Figure 5. Transthoracic apical four-chamber view completed 1 month after treatment with sirolimus demonstrating significant regression in the rhabdomyomas.

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  Figure 6. Transthoracic parasternal short-axis view showing a significant decrease in tumor burden 1 month after therapy.