Imminent fetal cardiac tamponade by right atrial hemangioma.
A fetus presented with a large pericardial effusion caused by a right atrial transmural tumor. Correct prenatal diagnosis by use of targeted fetal echocardiography indicated that treatment was not required until the gestational age of 36 weeks. At that time, cesarean section was performed because early signs of imminent cardiac tamponade developed ("swinging heart"). At birth, the pericardial effusion was drained with a percutaneous drain. Elective surgical resection was performed on day 6 of life. Histologically, the tumor was a benign capillary hemangioma.
Laga
S
S
Department of Cardiac Surgery, Gasthuisberg University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium. Steven.Laga@uz.kuleuven.ac.be.
Gewillig
M H
MH
Van Schoubroeck
D
D
Daenen
W
W
D000328:Adult; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D005315:Fetal Diseases; D005500:Follow-Up Studies; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000196:embryology; D006391:Hemangioma / Q000150:complications* / Q000175:diagnosis / Q000196:embryology; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D016216:Ultrasonography, Prenatal