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[Intrapericardial teratoma in a 3-month-old infant]

M Karolczak¹, I Smólska, J Ziółkowski

¹II Katedra i Klinika Kardiochirurgii i Chirurgii Ogólnej Dzieci Akademii Medycznej w Warszawie.

Pediatria Polska

|November 1, 1995

Summary

A rare congenital heart tumor, intrapericardial teratoma, was successfully surgically removed from a 3-month-old infant. Despite significant circulatory challenges during the procedure, the infant recovered well.

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Area of Science:

Cardiovascular Surgery
Pediatric Oncology
Congenital Abnormalities

Background:

Intrapericardial teratomas are rare germ cell tumors occurring within the pericardial sac.
These tumors can cause significant cardiac compression and malpositioning of great vessels, leading to severe hemodynamic compromise.
Surgical intervention is often necessary but carries substantial risks, especially in neonates and infants.

Observation:

A 3-month-old infant presented with symptoms attributed to an extensive intrapericardial teratoma.
The tumor was noted to be severely compressing and dislocating the heart and great vessels.
Significant circulatory disturbances were observed during the surgical procedure.

Findings:

Successful surgical resection of the extensive intrapericardial teratoma was achieved.

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The infant tolerated the complex procedure despite severe intraoperative hemodynamic instability.

Postoperative recovery was favorable, indicating the feasibility of surgical management in complex cases.

Implications:

This case highlights the successful surgical management of a rare and life-threatening congenital heart tumor in an infant.
It underscores the importance of early diagnosis and aggressive surgical treatment for intrapericardial teratomas.
The findings suggest that even with severe intraoperative challenges, successful outcomes are possible with expert surgical care and management.