Key result
Immediate surgical resection after preterm delivery achieves survival in massive fetal pericardial teratoma with hydrops.
Why the study?
Management strategies for very large fetal pericardial teratomas diagnosed prenatally require multidisciplinary evaluation to balance risks of invasive procedures and timing of delivery.
Case Report (n=1)
Highlights the multidisciplinary management of a large fetal pericardial teratoma involving planned preterm delivery and immediate postnatal surgical resection on cardiopulmonary bypass.
Planned cesarean with immediate resection succeeded in large fetal pericardial teratoma; extends sparse case experience but leaves optimal prenatal strategy open.
A very large fetal pericardial teratoma was diagnosed at 28 weeks' gestation, prompting urgent multidisciplinary expert consultations to weigh the risks and benefits of various prenatal invasive procedures and preterm delivery for postnatal surgical management. Ultimately, the infant was born by planned cesarean section and underwent immediate cardiopulmonary bypass and surgical resection.
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Desmond et al. (2023) conducted a case report in Fetal Pericardial Teratoma (n=1). Preterm cesarean birth and immediate surgical resection was evaluated on Survival and clinical outcome. Preterm cesarean birth followed by immediate postnatal surgical resection successfully treated a massive fetal pericardial teratoma complicated by hydrops, leading to the infant's survival and discharge.
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