Intrapericardial teratoma in the newborn

Agozzino, L; Vosa, Carlo; Arciprete, P; Leva, Francesco de; Cotrufo, Maurizio

doi:10.1016/0167-5273(84)90054-8

Cited by 32 publications

(17 citation statements)

References 5 publications

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“…The tumors range in size from 2 to 9 cm in diameter 6 . The main presenting findings in the fetus or neonate with a pericardial teratoma are a tumor on imaging studies and a pericardial effusion 7,8 . The tumor and/or pericardial effusion can impede venous return and cause cardiac tamponade, resulting in fetal hydrops and stillbirth 9 -11 .…”

Section: Letters To the Editor Fetal Pericardial Teratoma Causing Carmentioning

confidence: 99%

Fetal pericardial teratoma causing cardiac insufficiency: prenatal diagnosis and therapy

Kamil

Geipel

Schmitz

et al. 2006

Ultrasound in Obstet & Gyne

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Section: Letters To the Editor Fetal Pericardial Teratoma Causing Carmentioning

confidence: 99%

Fetal pericardial teratoma causing cardiac insufficiency: prenatal diagnosis and therapy

Kamil

Geipel

Schmitz

et al. 2006

Ultrasound in Obstet & Gyne

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“…[4][5][6] Here, we report a case of myocardial compression initially presenting as respiratory distress. Diagnosis was delayed by a day, and once confirmed, surgery was planned as an elective procedure.…”

Section: Discussionmentioning

confidence: 93%

Intrapericardial Teratoma in Neonates

Manoly

Viola

Fowler³

et al. 2011

World J Pediatr Congenit Heart Surg

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Primary cardiac tumors are very rare, with a reported incidence of 0.15% to 0.2% in autopsy series. They can be life threatening because of myocardial compression and ventricular dysfunction. Once diagnosed during pregnancy, the clinical condition of the baby is monitored because of the risk of rupture of the tumor capsule. The authors report a rare case of a neonate who presented with respiratory and cardiac compromise due to cardiac tamponade necessitating emergency exploration of the pericardium and excision of tumor. A well-encapsulated tumor measuring around 5 cm and bigger than the heart was completely excised. This was diagnosed to be an immature teratoma. Follow-up echocardiogram was normal, and on serial monitoring, alpha-fetoprotein was within normal limits. The baby was discharged home with no complications. Intrapericardial teratoma in neonates is a surgical emergency if presented with significant pericardial effusion. It can be a challenge if diagnosed in utero with rupture before the viability of pregnancy. A multidisciplinary team approach is necessary to manage such situations. Complete excision is necessary because of its association with tissues of malignant potential.

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“…2 ·M 1 The outcome has been good in all of the cases, except in one malignancy. 10 These results indicate that the prenatal diagnosis is not strictly necessary to the successful treatment of intrapericardial teratoma. However, as shown by our case, it is useful in avoiding an emergency and in minimizing the time interval between birth and surgery.…”

Section: Discussionmentioning

confidence: 98%