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Obstetric


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Tumour - Pericardial
Dr Gurleen Sharland 01 January 2001
Source: Platypus
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Pericardial teratoma is a rare condition in the fetus. This cystic tumour can compress the heart and cause fetal hydrops depending on its site. It tends to be related to the right atrium.
It is histologically benign but because of its size, it will usually lead to spontaneous intrauterine death. If the fetus survives to delivery, it may be possible to remove the tumour completely at surgery. There is a multicystic mass, usually related to the right atrium, projecting into the pericardial cavity. There will be an associated pericardial effusion.
The tumour may obstruct flow to the right side of the heart and cause fetal hydrops. The right heart may be underdeveloped as a result of restriction to blood flow.
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Year: 1987
Title: Prospective diagnosis of 1,006 consecutive cases of congenital heart disease in the fetus
Author: Allan LD, Sharland GK, Milburn A, Lockhart SM, Groves AMM, Anderson RH, Cook AC, Fagg NLK
Journal: J Am Coll Cardiol 23:1452-8
Year: 1994
Title: In: Colour Atlas of Fetal Cardiology
Author: Allan LD, Sharland G, Cook A
Journal: Mosby-Wolfe: London, p137-141
Year: 1994
Title: In: Heart Disease in Infants, Children and Adolescents
Author: Bharati S, Lev M
Journal: Adams FH, Emmanouilides GC, Riemenschneider TA (Eds) Williams and Wilkins: Baltimore, p886-890
Year: 1989
Title: Cardiac tumours in intrauterine life
Author: Groves AM, Fagg NLK, Cook AC, Allan LD
Journal: Arch Dis Child 67:1189-92
Year: 1992
Title: In utero sonographic diagnosis of diaphragmatic hernia with hepatic protrusion into the pericardium mimicking an
intrapericardial tumor
Author: Ake E, Fouron JC, Lessard M, Boisvert J, Grignon A, van Doesburg NH
Journal: Prenat Diagn 11:719-24
Year: 1991
Title: Prenatal diagnosis of intrapericardial teratoma
Author: Alegre M, Torrents M, Carreras E, Mortera C, Cusi V, Carrera JM
Journal: Prenat Diagn 10:199-202
Year: 1990
Title: Prenatal diagnosis of an intrapericardial teratoma: a cause for nonimmune hydrops
Author: Cyr DR, Guntheroth WG, Nyberg DA, Smith JR, Nudelman SR, Ek M
Journal: J Ultrasound Med 7:87-90
Year: 1988
Title: Fetal cardiac tamponade due to an intrapericardial teratoma.
Author: Tollens T; Casselman F; Devlieger H; Gewillig MH; Vandenberghe K; Lerut TE; Daenen WJ
Journal: Ann Thorac Surg Aug;66(2):559-60
Year: 1998
Title: Intrapericardial teratoma in a twin fetus: diagnosis and management.
Author: Sklansky M; Greenberg M; Lucas V; Gruslin-Giroux A
Journal: Obstet Gynecol May;89(5 Pt 2):807-9
Year: 1997
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