Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T16:02:44.409Z Has data issue: false hasContentIssue false

Neonatal intrapericardial teratomas: clinical and surgical considerations

Published online by Cambridge University Press:  19 August 2008

Jerry W. Pratt
Affiliation:
Division of Cardiothoracic Surgery, Department of Surgery, The Ohio State University Medical Center and Children's Hospital
Daniel M. Cohen*
Affiliation:
Division of Cardiothoracic Surgery, Department of Surgery, The Ohio State University Medical Center and Children's Hospital
Khaled H. Mutabagani
Affiliation:
Division of Cardiothoracic Surgery, Department of Surgery, The Ohio State University Medical Center and Children's Hospital
J. Terrance Davis
Affiliation:
Division of Cardiothoracic Surgery, Department of Surgery, The Ohio State University Medical Center and Children's Hospital
John J. Wheller
Affiliation:
Division of Cardiology, Children‘s Hospital, Columbus, OH, USA
*
Daniel M. Cohen, M.D., Division of Cardiothoracic Surgery, University of Wisconsin Hospital & Clinics, H4/370 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792–4108. Tel: (608) 263–1400; Fax: (608) 263–0547; E-mail: [email protected]

Abstract

Intrapericardial teratomas are rare primary cardiac tumors of infancy and childhood. We describe three neonates with intrapericardial teratomas diagnosed during fetal life and treated after birth. Clinical and anatomic considerations suggest that cardiopulmonary bypass provides for safe tumor dissection and complete excision of the tumor, thereby decreasing the risk of recurrence.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Agozzino, L, Vosa, C, Arciprete, P, de Leva, F, Cotrufo, M. Intrapericardial teratoma in the newborn. Int J Cardiol 1984; 5: 2128.CrossRefGoogle ScholarPubMed
2.McAllister, HA, Fenoglio, GG. Tumors of the cardiovascular system. Atlas of tumor pathology, 2nd series. Washington Dc: Armed Forces Institute of Pathology. 1978;6263.Google Scholar
3.Groves, AMM, Fagg, NLK, Cook, AC, Allan, LD. Cardiac tumors in intrauterine life. Arch Dis Child 1992; 67: 11891192.CrossRefGoogle ScholarPubMed
4.Todros, T, Gaglioti, P, Presbitero, PManagement of a fetus with intrapericardial teratoma diagnosed in utero. J Ultrasound Med 1991; 10: 287290.CrossRefGoogle ScholarPubMed
5.Sumner, TE, Crowe, JE, Klein, A, McKone, RC, Weaver, RL. Intrapericardial ceratoma in infancy. Pediatr Radiol 1980; 10: 5153.CrossRefGoogle Scholar
6.Guirgis, N, Azancot, A, Blot, P. Unusual evolution of a pen cardial mass diagnosed by fetal echocardiography. Pediatr Cardiol 1991; 12: 5759.CrossRefGoogle Scholar
7.Garcia Cors, M, Mulet, J, Caralps, J, Oiler, G. Fast-growing pen cardial mass as first manifestation of intrapenicardial teratoma in a young man [letter]. Am J Med 1990; 89: 818820.CrossRefGoogle Scholar
8.Burke, A and Virmoni, K Tumors of the heart and great vessels. Atlas of Pathology, 3rdSeries, Fascicle 16, Washington, DC Armed Forces. Institute of Pathology 1996; 123125.Google Scholar
9.Weber, HS, Kleinman, CS, Hellebrand, WE, Kopf, GS, Copel, J. Development of a benign intrapericardial teratoma between 20 and 40 weeks gestation. Pediatr Cardiol 1988; 9: 153156.CrossRefGoogle Scholar
10.DeGeeter, B, Kretz, J, Nisand, I, Eisenmann, B, Kieny, M, Kieny, R. Intrapericardial teratoma in a newborn infant: use of fetal echocardiography. Ann Thorac Surg 1983; 35: 664666.CrossRefGoogle Scholar
11.Perez-Ayles, A, Sanchis, N, Barbal, A, Artes, MJ, Domene, J, Chirivella, M, Baamonde, A. Nonimmunological hydrops fetalis and intrapericardial teratoma: case report and review. Prenatal Diagn 1995; 15: 859863.CrossRefGoogle Scholar
12.Rheuban, K, McDaniel, N, Feldman, P, Mayes, D, Rodgers, B. intrapericardial teratoma causing nonimmune hydrops fetalis and penicardial tamponade: a case report. Pediatr Cardiol 1991; 12: 5456.CrossRefGoogle ScholarPubMed
13.Benatar, A, Vaughan, J, Nicolini, U, Corrin, B, Lincoln, C. Prenatal pericardiocentesis: its role in the management of intrapericardial teratoma. Obstet Gynecol 1992; 79: 856859.Google ScholarPubMed
14.Sklansky, M.Greenberg, M., Lucas, V, Gruslin-Giroux, A. Intrapericardial teratoma in a twin fetus: diagnosis and management. Obstet Gynecol 1997; 879: 807809.CrossRefGoogle Scholar
15.Zerella, J and Halpe, D. Intrapericardiai teratoma - neonatal cardiorespiratory distress amenable to surgery. J Pediatr Surg 1980; 15: 961963.CrossRefGoogle ScholarPubMed
16.Seguin, JR.Coulon, PL, Perez, M, Grolleau-Taoux, RChaptal, PA. Echocardiographic diagnosis of intrapericardial teratoma in infancy. Am Heart J 1987; 113: 12391240.CrossRefGoogle ScholarPubMed
17.Beghetti, M, Prieditis, M, Rebeyka, IM, Mawson, J. Intrapericardial teratoma. Circulation 1998; 97: 15231524.CrossRefGoogle ScholarPubMed
18.Paw, PT, Jamieson, SW. Surgical management of intrapericardial teratoma diagnosed in utero. Ann Thorac Sung 1997; 64: 552–4.CrossRefGoogle ScholarPubMed
19.Tollens, T, Casselman, F, Devlieger, H, Gewillig, MH, Vandenberghe, K, Lerut, TE, Daenen, WJ. Fetal cardiac ramponade due to an intrapericardial teratoma. Ann Thorac Surg 1998; 66: 559–60.CrossRefGoogle Scholar
20.Arciniegas, SE, Hakimi, MFarooke, ZQ, Green, EW. Intrapericardial teratoma in infancy. JTCVS 1980; 79: 306311.Google ScholarPubMed
21.Brabham, KR, Roberts, WC. Cardiac-compressing intrapericardial teratoma at birth. Am J Cardiol 1989; 63: 386–7.CrossRefGoogle ScholarPubMed
22.Cyr, DR, Guntheroth, WG, Nyberg, DA, Smith, JR, Nudelman, SR, EK, M. Prenatal diagnosis of intrapericardial teratoma. Acause of non-immune hydrops. J Ultrasound Med 1988; 7: 8790.CrossRefGoogle Scholar
23.Freedom, RM, Benson, LN, Smallhorn, JF (eds). Cardiac Neoplasms, Ch. 42. IN Neonatal Heart Disease, LondonSpringer-Verlag 1992, 723729.CrossRefGoogle Scholar