RESUMO
Intrapericardial teratomas are rare but potentially fatal. With prenatal ultrasound, early diagnosis and decision for treatment can be accomplished. However, the decision becomes to treat prenatally vs. waiting until the neonatal period for definitive surgical management. The most common sequelae of intrapericardial teratomas are pericardial effusion and often progression to hydrops. It is these sequelae that tend to guide management. Presented here is a case report of the diagnosis and management of a twin fetus with an intrapericardial teratoma, as well as a review of the literature.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Doenças em Gêmeos/cirurgia , Coração Fetal/cirurgia , Neoplasias Cardíacas/cirurgia , Pericárdio/cirurgia , Teratoma/cirurgia , Adulto , Cesárea , Doenças em Gêmeos/congênito , Doenças em Gêmeos/diagnóstico , Feminino , Coração Fetal/diagnóstico por imagem , Coração Fetal/patologia , Idade Gestacional , Neoplasias Cardíacas/congênito , Neoplasias Cardíacas/diagnóstico , Humanos , Hidropisia Fetal/etiologia , Recém-Nascido , Nascido Vivo , Imageamento por Ressonância Magnética , Masculino , Equipe de Assistência ao Paciente , Derrame Pericárdico/congênito , Pericárdio/diagnóstico por imagem , Pericárdio/embriologia , Gravidez , Teratoma/congênito , Teratoma/diagnóstico , Resultado do Tratamento , Gêmeos , Ultrassonografia Pré-NatalRESUMO
Management of thoracopagus conjoined twins is predominantly determined by the associated complex cardiovascular abnormalities seen in the majority of these cases. Magnetic resonance imaging (MRI), including three-dimensional contrast-enhanced magnetic resonance angiography (MRA) provides a useful complement to conventional cardiac echocardiography or catheterization for detailed evaluation of the extra-cardiac anatomy. We report a pair of female thoracopagus conjoined twins with a shared six-chambered heart. The MRA findings are highlighted.
