Tratamento cirúrgico de teratoma intrapericárdico em lactente

Marcelo Biscegli Jatene,Décio Abuchaim,Luciana Martins,Miguel Barbero-Marcial

doi:10.1590/s0102-76382008000100020

Marcelo Biscegli Jatene, Décio Abuchaim + Show 2 more

Open Access

https://doi.org/10.1590/s0102-76382008000100020

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Abstract

The intrapericardic cardiac tumors are infrequent; however, the clinical manifestations can be serious, even with symptoms of low cardiac output or cardiogenic shock, depending on the localization of the tumor. We report the case of a 3-month-old infant who progressed to cardiogenic shock due to an intrapericardic tumor compressing the right atrium and the vena cava superior. Emergent surgery for resection of the tumor mass was recommended. The patient had a 6-month uneventful postoperative course.

Highlights

Among the tumors that involve the heart and the mediastinum in newborns and infants, those with intrapericardial location are infrequent and, among them, the most common are pericardial cysts and teratomas
The intrapericardial teratoma is symptomatic during the early childhood
The most prominent symptom is severe respiratory insufficiency secondary to pulmonary compression, and it is caused by the pericardium, which is entirely distended due to the tumor and the effusion

Summary

Introduction

Among the tumors that involve the heart and the mediastinum in newborns and infants, those with intrapericardial location are infrequent and, among them, the most common are pericardial cysts and teratomas. The pericardial cyst is rare, generally asymptomatic and without evidences in the clinical examination, and it can be suspected by chest radiography that shows cardiac area or mediastinum enlargement. The intrapericardial teratoma is symptomatic during the early childhood. The most prominent symptom is severe respiratory insufficiency secondary to pulmonary compression, and it is caused by the pericardium, which is entirely distended due to the tumor and the effusion. In the case of symptoms induced by tumors, they are due to the compression of vascular structures, such as superior and inferior vena cava, pulmonary veins or pulmonary trunk. The aim of this study is to report the case of a child with cardiogenic shock presentation who needed urgent surgical treatment

Objectives

Conclusion