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Federación Mexicana de Ginecología y Obstetricia, A.C.

2020, Number 09

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Ginecol Obstet Mex 2020; 88 (09)

Fetal cardiac tumor. Report of a case

Soto-López S, Arévalo-Martínez S, Carreras-Moratonas E, Ferrer-Menduiña Q

Language: Spanish
References: 21
Page: 638-643
PDF size: 213.33 Kb.


ABSTRACT

Background: Fetal cardiac tumors are rare, with a very low incidence, however; when they do occur, they are associated with life-threatening complications of the fetus. They are diagnosed from the second trimester and can cause non-immune fetal hydrops, arrhythmias, compression of outflow tracts, and sudden fetal death. Follow-up during pregnancy is important to detect possible complications and establish a birth plan.
Clinical case: A 35-year-old multigest patient, sent to the fetal maternal unit by his treating physician for evaluation for 24.2-week pregnancy and fetus with a single cardiac tumor, located on the apex, of large size; and without compromise in cardiac function, so only prenatal surveillance was warranted. At birth, the newborn received everolimus treatment, with a good response.
Conclusion: The case of a patient with a single pregnancy and fetus with a prenatal diagnosis of a large cardiac tumor is presented with a family history of hemangiomas. In this case, a follow-up approach to detect prenatal complications and establish a birth plan in a third level of medical care is critical for a good practice.


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