Giant Intrapericardial Teratoma – Enough Space Left in the Neonatal Thorax?

Main Article Content

Michael Weidenbach
Christian Paech
Frauke Hornemann
Marcel Vollroth

Abstract

Objective: Optimal treatment of fetal intrapericardial teratoma is controversial, especially in regard to fetal intervention. Given the rarity of the disease case reports can assist in decision making.

Case Report: We report on a neonate with a giant intrapericardial teratoma detected in utero, almost filling the entire thorax. Delivery was planned per cesarean section with extracorporeal membrane oxygenation (ECMO) stand-by. As a surprise the child adopted very well after birth, requiring only continuous positive airway pressure (CPAP). The tumor was resected on the next day without injuring cardiac structures. The child was and discharged on day 10 post-surgery.

Conclusion: Our case supports the assumption that even in very large tumors the postnatal course can be benign, if there is no fetal hydrops.

Keywords:
Intrapericardial teratoma, fetal intervention, cardiac tumor, conservative management.

Article Details

How to Cite
Weidenbach, M., Paech, C., Hornemann, F., & Vollroth, M. (2020). Giant Intrapericardial Teratoma – Enough Space Left in the Neonatal Thorax?. Cardiology and Angiology: An International Journal, 9(4), 43-46. https://doi.org/10.9734/ca/2020/v9i430147
Section
Case Study

References

Lakhoo K, Boyle M, Drake DP. Mediastinal teratomas: Review of 15 pediatric cases. J Pediatr Surg. 1993;28(9):1161-4.

Singh V, Kakkar S, Arora A, Garg A, Harjai MM. A rare case of intra-pericardial teratoma presenting as a mediastinal mass in an infant. Medical Journal, Armed Forces India. 2015;71(Suppl 1):S49.

Rychik J, Khalek N, Gaynor JW, Johnson MP, Adzick NS, Flake AW, Hedrick HL. Fetal intrapericardial teratoma: Natural history and management including successful in utero surgery. American Journal of Obstetrics and Gynecology. 2016;215(6):780-e1.

Wafa Mohamed, Shazia Mohsin, Merna Atiyah, Ahmed Elwy, Jassim Abdulhamed. Immature intrapericardial teratoma in twin pregnancy: A case report. Journal of Cardiovascular Medicine and Therapeutics. 2018;2(4):19–21.

Skyggebjerg KD. Hydrops fetalis caused by intrapericardial teratoma. Acta Obstetricia et Gynecologica Scandinavica. 1988;67(7):653-654.

Fagiana AM, Barnett S, Reddy VS, Milhoan KA. Management of a fetal intrapericardial teratoma: A case report and review of the literature. Congenital Heart Disease. 2010;5(1):51-55.

Nassr AA, Shazly SA, Morris SA, Ayres N, Espinoza J, Erfani H, Olutoye OA, Sexson SK, Olutoye OO, Fraser CD Jr, Belfort MA, Shamshirsaz AA. Prenatal management of fetal intrapericardial teratoma: A systematic review. Prenat Diagn. 2017;37(9):849-863.

Peterson CM, Buckley C, Holley S, Menias CO. Teratomas: A multimodality review. Current Problems in Diagnostic Radiology. 2012;41(6):210-219.

Gonzalez-Crussi F. Extragonadal teratomas: Armed Forces Institute of Pathology. 1982;95-99.