Surgical treatment of a newborn in critical condition with intrapericardiac teratoma: a case report

Abstract

This article presents a clinical case of the successful surgical treatment of a newborn with intrapericardial teratoma, which was initially diagnosed in the postnatal period, complicated by multiple organ failure, including severe cardio-respiratory disorders and acute renal damage. The systematized results of clinical, electrophysiological, radiation, and morphological diagnostics during the initial examination and at the stages of supervision of the newborn are reported. On the nineteenth day of life, significant multidisciplinary cooperation was implemented to perform a radical surgical intervention to remove the intrapericardial teratoma in a patient in critical condition due to heart compression and intrathoracic tension syndrome, which determined the needed prosthetics for vital functions. Two months after the operation, the efficiency of the intervention and complex therapy was confirmed by the direct results and data of the infant’s examination. The organizational aspects provided newborns with emergency multidisciplinary specialized medical care.

Keywords

newborn / intrapericardial teratoma / cardiac tumors in children / median sternotomy / multidisciplinary treatment

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RIGHTS & PERMISSIONS

Kucherov Y.I., Zhirkova Y.V., Tarayan M.V., Samorokovskaya M.V., Shvets L.V.