Department of Cardiothoracic Surgery, Serdang Hospital, Kajang, Malaysia.
Pediatric Department, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang, Malaysia.
Cardiol Young. 2023 Jul;33(7):1206-1208. doi: 10.1017/S1047951122003687. Epub 2022 Dec 9.
Intrapericardial teratoma is a germ-cell tumor that typically arises from the base of the heart. This rare cardiac tumour is the second most common tumor diagnosed in fetuses and newborn. Although benign, it can be massive in size causing direct compression on the heart and associated with significant pericardial effusion resulting life-threatening complications such as cardiac tamponade, heart failure, foetal hydrops, and sudden death. Early antenatal diagnosis and surgical intervention improve the survival. We present a case of immature intrapericardial teratoma diagnosed at 25 weeks of gestation but required multiple foetal pericardiocentesis and premature delivery due to massive pericardial effusion. The importance of multidisciplinary team approach to ensure successful management was highlighted in this case report.
心包内畸胎瘤是一种生殖细胞肿瘤，通常起源于心底部。这种罕见的心脏肿瘤是胎儿和新生儿中诊断出的第二大常见肿瘤。尽管是良性的，但它可能很大，直接压迫心脏，并伴有大量心包积液，导致危及生命的并发症，如心脏压塞、心力衰竭、胎儿水肿和突然死亡。早期产前诊断和手术干预可提高生存率。我们报告了一例 25 孕周诊断的未成熟心包内畸胎瘤病例，但由于大量心包积液，需要多次胎儿心包穿刺和早产。本病例报告强调了多学科团队方法对确保成功管理的重要性。
