Home > Journals > Medicina dello Sport > Past Issues > Medicina dello Sport 2017 March;70(1) > Medicina dello Sport 2017 March;70(1):104-8

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Permissions
Cite this article as

 

CASE REPORT   

Medicina dello Sport 2017 March;70(1):104-8

DOI: 10.23736/S0025-7826.17.03082-4

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English, Italian

Tuberous sclerosis, cardiac rhabdomyomas and competitive Paralympic sports activity: a case report

Vincenzo PALMIERI 1, 2, Francesco CUCCARO 1, Sebastiano ORVIETO 1, Massimiliano BIANCO 2, Paolo ZEPPILLI 2

1 Unit “Elder and Disabled Sportsman Evaluation”, Sports Medicine Centre, Rome, Italy; 2 Agostino Gemelli Policlinic Foundation, Sacro Cuore Catholic University, Rome, Italy


PDF


We describe the case of a 20-year-old man suffering from tuberous sclerosis and an autistic disorder, already practicing swimming and athletics (running) at noncompetitive level. In the past, he was denied competitive sports due to multiple cardiac rhabdomyomas, the greatest of them slightly protruding from the septum into the left ventricle. He came to our Center for a new evaluation for competitive sport. An accurate echocardiographic and Doppler examination was substantially normal, a part of the presence of one rhabdomyoma, not causing left ventricular outflow obstruction. Furthermore, no significant arrhythmias and ECG abnormalities were observed at rest and during exercise stress test. For this reason, we decided to allow the young man to participate in competitive sports activity (Paralympic), with a close follow-up. After six years, there were no cardiovascular events and no changes in the clinical and instrumental cardiac findings.


KEY WORDS: Tuberous sclerosis - Heart neoplasms, Arrhythmias, cardiac - Autistic disorder - Sports for persons with disabilities

top of page