Abstract

Fetal cardiac tumors are extremely rare and most are benign, but they may cause important complications, including arrhythmias or conduction abnormalities, ventricular outflow or inflow obstruction, atrioventricular valve insufficiency, heart failure, and hydrops fetalis. The most common types of fetal cardiac tumors are rhabdomyomas, teratomas, and fibromas, respectively. Heart tumors are generally easy to diagnose prenatally by fetal echocardiography. They tend to appear between 20 and 30weeks gestation. Management of fetuses with cardiac tumors requires serial echocardiograms, and the approach will vary according to the complications. Pregnancy should be continued as long as possible if there are no significant cardiovascular complications. The outcome of affected fetuses depends on the type of tumor and also on its location, size, number, cardiovascular complications, and associated extracardiac disorders.

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