Early treatment of intrapericardial teratoma: a case presentation and systematic literature review.

Autor:	Cavalcante CTMB; a Department of Cardiology and Pediatric Cardiovascular Surgery , Carlos Alberto Studart Gomes Hospital , Fortaleza , Brazil.; b Department of Pediatrics , Fortaleza University (UNIFOR) , Fortaleza , Brazil., Pinto Júnior VC; a Department of Cardiology and Pediatric Cardiovascular Surgery , Carlos Alberto Studart Gomes Hospital , Fortaleza , Brazil., Pompeu RG; a Department of Cardiology and Pediatric Cardiovascular Surgery , Carlos Alberto Studart Gomes Hospital , Fortaleza , Brazil., Férrer JVCC; a Department of Cardiology and Pediatric Cardiovascular Surgery , Carlos Alberto Studart Gomes Hospital , Fortaleza , Brazil., Cavalcante MB; c Department of Obstetrics and Gynecology , Fortaleza University (UNIFOR) , Fortaleza , Brazil., Araujo Júnior E; d Department of Obstetrics, Paulista School of Medicine , Federal University of São Paulo (EPM-UNIFESP) , São Paulo , Brazil., Peixoto AB; e Mario Palmério University Hospital, University of Uberaba (UNIUBE) , Uberaba , Brazil.; f Discipline of Obstetrics and Gynecology , Federal University of Triângulo Mineiro (UFTM) , Uberaba , Brazil., Castello Branco KM; a Department of Cardiology and Pediatric Cardiovascular Surgery , Carlos Alberto Studart Gomes Hospital , Fortaleza , Brazil.; g Post graduation Program in Organ Transplantation , State University of Ceará (UECE) , Fortaleza , Brazil.
Jazyk:	angličtina
Zdroj:	The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2019 Jul; Vol. 32 (13), pp. 2262-2268. Date of Electronic Publication: 2018 Jan 22.
DOI:	10.1080/14767058.2018.1427059
Abstrakt:	Objective: To present a case of an early treatment of cardiac intraperitoneal teratoma (IPT) in a newborn and its associated systematic literature review. Methods: We presented a case of a newborn with IPT but without hydrops and having a good perinatal outcome after cardiac surgery. Using the PubMed database, we conducted a systematic literature review of articles regarding cases with cardiac IPT diagnosed and treated in the neonatal period and published in English from 2004 onward. We excluded cases that involved fetal death or interrupted gestation events. Results: In total, 38 cases of IPT from 31 articles were included. The mean ± standard deviation of the gestational age at diagnosis and delivery were 27.9 ± 5.7 and 33.0 ± 3.5 weeks, respectively, and that of birth weight was 2373 ± 834.5 g. The majority of fetuses (42.1%) were males. Pericardial effusion was the most common symptom (60.5%) followed by hydrops (42.1%) and respiratory distress (42.1%). Intrauterine procedure was not performed in 63.1% of cases, and 71.0% of newborns were alive. Conclusions: IPT in newborns is usually associated with a good prognosis without the need for intrauterine procedures. Cases with IPT-related death are associated with hemodynamic impairment in fetuses with hydrops.
Databáze:	MEDLINE
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