Fagiana Angela M, Barnett Shari, Reddy V Sreenath, Milhoan Kirk A
Department of Pediatrics, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA.
Congenit Heart Dis. 2010 Jan-Feb;5(1):51-5. doi: 10.1111/j.1747-0803.2009.00305.x.
Intrapericardial teratomas are rare but potentially fatal. With prenatal ultrasound, early diagnosis and decision for treatment can be accomplished. However, the decision becomes to treat prenatally vs. waiting until the neonatal period for definitive surgical management. The most common sequelae of intrapericardial teratomas are pericardial effusion and often progression to hydrops. It is these sequelae that tend to guide management. Presented here is a case report of the diagnosis and management of a twin fetus with an intrapericardial teratoma, as well as a review of the literature.
心包内畸胎瘤罕见但可能致命。通过产前超声检查，可以实现早期诊断并做出治疗决策。然而，决策内容变为是在产前进行治疗还是等到新生儿期进行确定性手术治疗。心包内畸胎瘤最常见的后遗症是心包积液，且常常进展为水肿。正是这些后遗症往往指导着治疗方案。本文介绍了一例双胎胎儿心包内畸胎瘤的诊断和治疗病例报告，并对相关文献进行了综述。
