Document Detail


Pericardial teratoma complicated by hydrops: successful fetal therapy by thoracoamniotic shunting.
MedLine Citation:
PMID:  12975784     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pericardial teratoma is a potentially curable lesion that may become life threatening when it induces mediastinal compression and fetal hydrops. So far, cases with fetal hydrops have been managed by elective delivery or pericardial needle decompression. We report a case in which pericardial teratoma resulted in fetal hydrops. Following transpleural needling of the fetal pericardium at 29 weeks and 6 days, pericardial effusion decreased but hydrops persisted, while major unilateral pleural effusion appeared. A thoracoamniotic shunt was placed at 30 weeks and 5 days. Hydrops resolved, although incompletely. The baby was delivered at 32 weeks and was operated upon on day 3. This observation suggests that fetal hydrops associated with pericardial teratoma may improve following thoracoamniotic shunting. Fetal therapy may limit the risks of respiratory distress arising from the combined effect of airways compression and lung immaturity.
Authors:
A G Grebille; D Mitanchez; A Benachi; M C Aubry; V Houfflin-Debarge; P Vouhé; Y Dumez; M Dommergues
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  23     ISSN:  0197-3851     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-09-16     Completed Date:  2004-01-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  England    
Other Details:
Languages:  eng     Pagination:  735-9     Citation Subset:  IM    
Copyright Information:
Copyright 2003 John Wiley & Sons, Ltd.
Affiliation:
Department of Obstetrics, Hôpital Necker-Enfants Malades and University Paris V, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Diagnosis, Differential
Female
Heart Neoplasms / diagnosis*,  embryology,  surgery*,  ultrasonography
Humans
Hydrops Fetalis / diagnosis*,  surgery*,  ultrasonography
Pericardium
Pregnancy
Pregnancy Trimester, Third
Prenatal Diagnosis*
Teratoma / diagnosis*,  embryology,  surgery*,  ultrasonography
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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