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Ann Thorac Surg 1998;66:559-560
© 1998 The Society of Thoracic Surgeons

Case Reports

Fetal cardiac tamponade due to an intrapericardial teratoma

Tim Tollens, MDa, Filip Casselman, MDa, Hugo Devlieger, MD, PhDb, Marc H. Gewillig, MD, PhDb, Kamiel Vandenberghe, MDc, Toni E. Lerut, MD, PhDd, Willem J. Daenen, MDa

a Department of Cardiac Surgery, University Hospitals Gasthuisberg, Leuven, Belgium
b Department of Thoracic Surgery, University Hospitals Gasthuisberg, Leuven, Belgium
c Department of Neonatology, University Hospitals Gasthuisberg, Leuven, Belgium
d Department of Gynecology and Obstetrics, University Hospitals Gasthuisberg, Leuven, Belgium

Accepted for publication February 27, 1998.

Address reprint requests to Prof Daenen, Department of Cardiac Surgery, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium
e-mail: (willem.daenen{at}uz.kuleuven.ac.be)

A case of an intrapericardial tumor diagnosed in utero at 26 weeks of gestation is presented. The prenatal echocardiographic follow-up of an incipient hydrops fetalis determined the management and the emergency surgical treatment. Histologically, the tumor appeared to be a benign teratoma, grade I. In the postoperative period an unexpected mediastinal tumor was found and removed later. This tumor also appeared to be a benign teratoma, grade 0. Both teratomas were independent and therefore primary.




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