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Intrapericardial teratoma in newborn babies
N Laquay1, S Ghazouani, L Vaccaroni
1Department of Anesthesia, Necker-Enfants-Malades Hospital, Paris, France. nlaquay@invivo.edu
Summary
Two fetuses with intra pericardial tumors and effusions received in utero treatment. Postnatal surgery for cystic teratoma resulted in favorable outcomes for both infants.
Area of Science:
- Cardiology
- Fetal Medicine
- Pediatric Surgery
Background:
- Pericardial tumors are rare fetal cardiac anomalies.
- Hydrops fetalis secondary to pericardial effusion poses a significant risk to fetal survival.
Observation:
- Two cases of fetal intra pericardial tumors with significant pericardial effusion were diagnosed via echocardiography.
- Gestational ages at diagnosis were 21 and 28 weeks.
Findings:
- Intrauterine pericardiocentesis was performed to alleviate hydrops fetalis.
- Postnatal surgical resection confirmed cystic teratoma as the diagnosis.
- Both infants experienced favorable post-operative recovery.
Implications:
- Early diagnosis and intervention, including intrauterine procedures, can improve outcomes for fetal pericardial tumors.
- Multidisciplinary management involving fetal medicine, cardiology, and surgery is crucial.
- Cystic teratomas, though rare, are treatable causes of fetal hydrops.