Fetal cardiac tamponade due to an intrapericardial teratoma

Tollens, Tim; Casselman, Filip; Devlieger, Hugo; Gewillig, Marc; Vandenberghe, Kamiel; Lerut, Toni; Daenen, Willem

doi:10.1016/s0003-4975(98)00508-6

Cited by 64 publications

(47 citation statements)

References 7 publications

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“…Congenital cystic adenomatoid malformation and bronchogenic cysts must be considered if the tumor mass appears to originate from the lung [5]. Tollens et al [6] reported a case of two independent primary teratomas of the thorax.…”

Section: Discussionmentioning

confidence: 99%

Pericardial Teratoma: Prenatal Diagnosis and Course

Tollens¹,

Grab²,

Lang

et al. 2003

Fetal Diagn Ther

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Section: Discussionmentioning

confidence: 99%

Pericardial Teratoma: Prenatal Diagnosis and Course

Tollens¹,

Grab²,

Lang

et al. 2003

Fetal Diagn Ther

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“…The majority of the masses which grew led to NIH. Of the 13 case reports cited in the literature which developed hydrops, only 1 fetus survived [2,11,20,33]. This fetus had the diagnosis of pericardial teratoma and hydrops made at 33 weeks' gestation and underwent emergent delivery, requiring two pericardiocenteses postnatally prior to curative operative resection [14].…”

Section: Discussionmentioning

confidence: 99%

Prenatal Resection of a Fetal Pericardial Teratoma

Sydorak¹,

Kelly²,

Feldstein³

et al. 2002

Fetal Diagn Ther

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Objective: Pericardial teratomas are rare congenital tumors which invade the developing mediastinum, compressing the venous return to the heart, leading to hydrops. Tumors, with large cystic components, have been treated previously with in utero pericardiocentesis with some success. We present the first reported case of in utero open resection of a fetal pericardial teratoma. Methods: A 31-year-old G1P0 woman was found to have a fetus with a pericardial teratoma. Hydrops developed at 24 weeks’ gestation. After counseling, open fetal resection was performed via a fetal median sternotomy. Results: Although the tumor was successfully removed, the hydrops did not resolve. In addition, over the course of 3 weeks, the mother developed maternal mirror syndrome which prompted an emergent cesarean section. Neonatal death ensued shortly after birth. Conclusions: The fetus with a pericardial teratoma complicated by hydrops is compromised. Treatment options include early delivery, aspiration of the pericardial effusion, and in utero operative resection.

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“…The tumor and/or pericardial effusion can impede venous return and cause cardiac tamponade, resulting in fetal hydrops and stillbirth 9 -11 . The development of fetal hydrops requires treatment by early delivery, in-utero pericardiocentesis, or fetal surgery depending on the gestational age, the anatomy of the teratoma, and the degree of cardiac decompensation 9,12,13 .…”

Section: Letters To the Editor Fetal Pericardial Teratoma Causing Carmentioning

confidence: 99%