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ORIGINAL ARTICLE

Diagnosis and surgical treatment of intrapericardial teratoma

Carlos R MoraesI; Sandra MattosI; Jorge V RodriguesI; Cleuza Lapa SantosI; Cláudio A GomesI; Euclides TenórioI; Fernando Moraes NetoI; Sheila HazinI

DOI: 10.1590/S0102-76381996000100009

ABSTRACT

We report two cases of intrapericardial teratoma, a rare cardiac tumor, usually found in neonates and young infants, which may cause respiratory distress, large pericardial effusions and cardiac compression leading to intra-uterine or neonatal death. Both cases were diagnosed noninvasively by echocardiogram, in a 3 month-old girl with signs of cardiac tamponade, and by fetal echocardiography, in a 38 week pregnant woman. Successful surgical removal of the tumor was undertaken in both patients at the ages of 3 months and 3 days of life, respectively. Histology confirmed the diagnosis of teratoma. It is emphasized the diagnostic accuracy of achocardiography and the importance of early surgical treatment in the management of intrapericardial teratoma.

RESUMO

Descrevemos 2 casos de teratoma intrapericárdico, tumor cardíaco primário raro, usualmente encontrado em neonatos e lactentes e que pode causar insuficiência respiratória, grande acúmulo de liqüido pericárdico e compressão cardíaca, levando à morte no período intra-uterino ou neonatal. Em ambos os casos, o diagnóstico foi estabelecido pelo ecocardiograma realizado em criança de 3 meses com sinais de tamponamento cardíaco e no feto de uma gestante no curso da 38º semana de gravidez. Ressecção cirúrgica com sucesso em ambos os pacientes foi realizada nas idades de 3 meses e 3 dias de vida, respectivamente. A histologia confirmou o diagnóstico de teratoma. Enfatiza-se a acurácia do diagnóstico ecocardiográfico nestes casos e a importância da indicação cirúrgica precoce.
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REFERENCES

1. ALDOUSANY, A. W.; JOYNER, J. C.; PRICE, R. A.; BOULDEN, T.; WATSON, D.; DISESSA, T. G. - Diagnosis and treatment of intrapericardial teratoma. J. Pediatr., 8: 51-53,1987.

2. ARCINIEGAS, E.; HAKIMI, M.; FAROOKI, Z. Q.; GREEN, E. W. - Intrapericardial teratoma in infancy. J. Thorac. Cardiovasc. Surg., 79: 306-311, 1980. [MedLine]

3. DEENADAYALU, R. P.; TUURI, D.; DE WALL, R. A.; JOHNSON, G. F. - Intrapericardial teratoma and broncogenic cyst. J. Thorac. Cardiovasc. Surg., 67: 945-951, 1974.

4. DEGEETER, B.; KRETZ, J. G.; NISAND, I.; EISENMANN, B.; KIENY, M. T.; KIENY, R. - Intrapericardial teratoma in a newborn infant: use of fetal echocardiography. Ann. Thorac. Surg., 35: 664-666, 1983. [MedLine]

5. GROVES, A. M. M.; FAGG, N. L. K.; COOK, A. C.; ALLAN, L. D. - Cardiac tumors in intrauterine life. Arch. Dis. Childhood, 67: 1189-1192, 1992.

6. LEGNAMI, F. A. & CORWIN, R. D. - Intrapericardial teratoma: report of a case. Am. Heart J. 65: 674-676, 1963.

7. LUBIN, B. H.; FRIEDMAN, S.; MILLER, N. - Intrapericardial teratoma associated with pericardial effusion: an surgical acute problem in infancy. J. Pediatr. Surg., 2: 336-342, 1967. [MedLine]

8. ZERELLA, J. T. & HALPE, D. C. - Inttapericardial teratoma: neonatal cardiorespiratory distress amenable by surgery. J. Pediatr. Surg., 15: 961-963, 1980. [MedLine]

Article receive on Tuesday, January 31, 1995

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