Prenatal therapy for pericardial teratomas

Although the majority of reported pericardial teratomas have been excised successfully in the postnatal period, the outcome of prenatally diagnosed pericardial teratomas remains less favorable. Two recent cases of prenatally diagnosed pericardial teratomas and a review of previously reported cases s...

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Bibliographic Details
Published in:Journal of pediatric surgery 1997-07, Vol.32 (7), p.1113-1115
Main Authors: Bruch, Steven W, Adzick, N.Scott, Reiss, Rosemary, Harrison, Michael R
Format: Article
Language:English
Subjects:
Biological and medical sciences
Decision Trees
Diseases of mother, fetus and pregnancy
Female
Fetal Diseases - diagnostic imaging
Fetal Diseases - therapy
Gynecology. Andrology. Obstetrics
Heart Neoplasms - complications
Heart Neoplasms - congenital
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - therapy
Humans
Hydrops Fetalis - diagnosis
Hydrops Fetalis - etiology
Medical sciences
Pregnancy
Pregnancy. Fetus. Placenta
Teratoma - complications
Teratoma - congenital
Teratoma - diagnostic imaging
Teratoma - therapy
Ultrasonography, Prenatal
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Summary:Although the majority of reported pericardial teratomas have been excised successfully in the postnatal period, the outcome of prenatally diagnosed pericardial teratomas remains less favorable. Two recent cases of prenatally diagnosed pericardial teratomas and a review of previously reported cases suggest a new management algorithm for those pericardial teratomas discovered in utero. Fetuses in whom hydrops does not develop may be safely followed up and treated postnatally. However, if hydrops develops, the fetus requires treatment with either aspiration of the pericardial effusion, or fetal surgery and resection.
ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(97)90410-3