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Fetal cardiac tumors: clinical features, management and prognosis

  • Shi-Min Yuan EMAIL logo
Published/Copyright: March 27, 2017
Journal of Perinatal Medicine
From the journal Journal of Perinatal Medicine Volume 46 Issue 2

Abstract:

Fetal cardiac tumors are rare and usually benign. While echocardiography is a reliable technique for diagnosing fetal cardiac tumors, their definitive diagnosis relies on pathological examination. The strategies used to manage fetal cardiac tumors are challenging. A good clinical result is their complete regression during pregnancy or shortly after birth, as often occurs with cardiac rhabdomyomas. Moreover, the fetal prognosis depends on the nature of the tumors, namely, their location, size, number and associated complications. The active treatment options for symptomatic fetuses depend on the fetal status and may include fetal open surgery, postnatal tumor resection with or without the bridge of intrauterine pericardiocentesis, and thoracoamniotic shunting. The ex utero intrapartum treatment procedure provides an alternative technique for performing fetal open surgery and has shown promising preliminary results in selected cases, but is invasive for both the mother and fetus.

Keywords: Heart neoplasms; hydrops fetalis; prenatal diagnosis
Corresponding author: Prof. Shi-Min Yuan, Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, 389 Longdejing Street, Chengxiang District, Putian 351100, Fujian Province, P.R. China, Tel.: 86 594 6923117

  1. Author’s Statement

  2. Conflict of interest: Authors state no conflict of interest.

  3. Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.

  4. Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

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Received: 2016-9-19
Accepted: 2017-2-21
Published Online: 2017-3-27
Published in Print: 2018-2-23

©2018 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. Frontmatter
  2. Review article
  3. Fetal cardiac tumors: clinical features, management and prognosis
  4. Original articles – Obstetrics
  5. Chronic inflammatory lesions of the placenta are associated with an up-regulation of amniotic fluid CXCR3: A marker of allograft rejection
  6. Gaps in obstetric care processes – we can only improve what is being measured
  7. Tokophobia (fear of childbirth): prevalence and risk factors
  8. Adjuvant administration of 17-α-hydroxy-progesterone caproate in women with three or more second trimester pregnancy losses undergoing cervical cerclage is no more effective than cerclage alone
  9. The role of ultrasound in the prediction of birth weight discordance in twin pregnancies: are we there yet?
  10. NLRP genes and their role in preeclampsia and multi-locus imprinting disorders
  11. Original articles – Fetus
  12. Diagnostic value of perinatal autopsies: analysis of 486 cases
  13. Feto-maternal osmotic balance at term. A prospective observational study
  14. Original articles – Newborn
  15. Oxygen saturation trends in normal healthy term newborns: normal vaginal delivery vs. elective cesarean section
  16. Causes of death among full term stillbirths and early neonatal deaths in the Region of Southern Denmark
  17. Critical congenital heart disease screening with a pulse oximetry in neonates
  18. DHA reduces oxidative stress following hypoxia-ischemia in newborn piglets: a study of lipid peroxidation products in urine and plasma
  19. A non-invasive method to rule out transient tachypnea of the newborn (TTN): fetal pulmonary artery acceleration to ejection time ratio
  20. Letter to the Editor
  21. Clarification of the methods and statistics in the study “Planned home birth and the association with neonatal hypoxic ischemic encephalopathy”
  22. Clarification of the methods and statistics in the study “Planned home birth and the association with neonatal hypoxic ischemic encephalopathy”
  23. Reply to: Planned home birth and the association with neonatal hypoxic ischemic encephalopathy
  24. Response to the Letter to the Editor, “Risk factors of uterine rupture with a special interest to uterine fundal pressure: methodological issues”
  25. Re: Utility of routine urine CMV PCR and total serum IgM testing of small for gestational age infants: a single center review
https://doi.org/10.1515/jpm-2016-0311
Keywords for this article
Heart neoplasms; hydrops fetalis; prenatal diagnosis

Articles in the same Issue

  1. Frontmatter
  2. Review article
  3. Fetal cardiac tumors: clinical features, management and prognosis
  4. Original articles – Obstetrics
  5. Chronic inflammatory lesions of the placenta are associated with an up-regulation of amniotic fluid CXCR3: A marker of allograft rejection
  6. Gaps in obstetric care processes – we can only improve what is being measured
  7. Tokophobia (fear of childbirth): prevalence and risk factors
  8. Adjuvant administration of 17-α-hydroxy-progesterone caproate in women with three or more second trimester pregnancy losses undergoing cervical cerclage is no more effective than cerclage alone
  9. The role of ultrasound in the prediction of birth weight discordance in twin pregnancies: are we there yet?
  10. NLRP genes and their role in preeclampsia and multi-locus imprinting disorders
  11. Original articles – Fetus
  12. Diagnostic value of perinatal autopsies: analysis of 486 cases
  13. Feto-maternal osmotic balance at term. A prospective observational study
  14. Original articles – Newborn
  15. Oxygen saturation trends in normal healthy term newborns: normal vaginal delivery vs. elective cesarean section
  16. Causes of death among full term stillbirths and early neonatal deaths in the Region of Southern Denmark
  17. Critical congenital heart disease screening with a pulse oximetry in neonates
  18. DHA reduces oxidative stress following hypoxia-ischemia in newborn piglets: a study of lipid peroxidation products in urine and plasma
  19. A non-invasive method to rule out transient tachypnea of the newborn (TTN): fetal pulmonary artery acceleration to ejection time ratio
  20. Letter to the Editor
  21. Clarification of the methods and statistics in the study “Planned home birth and the association with neonatal hypoxic ischemic encephalopathy”
  22. Clarification of the methods and statistics in the study “Planned home birth and the association with neonatal hypoxic ischemic encephalopathy”
  23. Reply to: Planned home birth and the association with neonatal hypoxic ischemic encephalopathy
  24. Response to the Letter to the Editor, “Risk factors of uterine rupture with a special interest to uterine fundal pressure: methodological issues”
  25. Re: Utility of routine urine CMV PCR and total serum IgM testing of small for gestational age infants: a single center review
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