Intrapericardial teratoma in a low birth weight preterm infant: a successful multidisciplinary approach

被引:9
|
作者
Iacona, Gabriele M. [1 ]
Barber, Miguel A. [3 ]
Medina, Margarita [3 ]
Abella, Raul [2 ]
机构
[1] CHUIMI, Hosp Univ Materno Infantil, Unidad Med Quirurg Cardiol Pediat & Cardiopatias, Las Palmas De Gc 35016, Spain
[2] IRCCS Policlin San Donato, Div Cardiochirurg 1, Milan, Italy
[3] CHUIMI, Hosp Univ Materno Infantil, Unidad Diagnost Prenatal & Terapia Fetal, Las Palmas De Gc 35016, Spain
关键词
Intrapericardial teratoma; Foetal pericardiocentesis; Cardiac tumours in children; Cardiac tumours diagnosis and management; Vaginal delivery;
D O I
10.1510/icvts.2010.250746
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of an intrapericardial teratoma, a rare tumour in infants, prenatally diagnosed and successfully treated thanks to a multidisciplinary approach. An intrapericardial cystic mass (2.5 cm) with pericardial effusion was identified in a foetus at 32 weeks gestational age (GA). Intrauterine pericardiocentesis was performed immediately (40 ml) and repeated at 33 weeks (25 ml) and then at 34 weeks GA, just before birth (36 ml). Considering the rapid growth of the mass and the risk of hydrops, vaginal delivery was induced. A baby girl weighing 1.98 kg was born without cardiorespiratory compromise. Echocardiography and thoracic CT-scan located the 4.0X3.0 cm cystic mass between the left atrial appendage and the left superior pulmonary vein. At three days of life, the mass was completely removed without cardiobypass. It arose from the ascending aorta. Postoperative course was uneventful. Pathology diagnosed an immature intrapericardial teratoma. As long-term follow-up is required, alpha-fetoprotein can be a valid tool to monitor a possible recurrence. A multidisciplinary approach allows successful prenatal management and postnatal tumour surgery. (c) 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
引用
收藏
页码:287 / 289
页数:3
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