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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The authors report the case of a 29-year-old woman with an uneventful pregnancy until 35 weeks of gestational age&#44; when a single fetal giant cardiac mass and moderate pericardial effusion were detected on a routine fetal obstetric scan&#46; The mass measured 57 mm&#215;43 mm and was adjacent to the anterior and lateral walls of the left ventricle&#44; causing mild compression&#44; with no signs of inflow or outflow tract obstruction &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#44; <a class="elsevierStyleCrossRef" href="#sec0035">Videos 1-3</a>&#41;&#46; Global cardiac function was preserved and no signs of hemodynamic compromise were documented&#46; All findings were considered consistent with a single cardiac rhabdomyoma&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Considering the risk of hemodynamic compromise and interference with lung development&#44; a multidisciplinary decision was made to deliver at 36 weeks by cesarean section&#46; The patient was born in good condition and no hemodynamic compromise or other organ lesions were ever documented&#46; A conservative approach was taken and the patient remained completely asymptomatic&#44; clinically stable under diuretic therapy&#44; gaining weight&#44; with significant regression of pericardial effusion and tumor dimensions documented over time &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Despite the tumor&#39;s massive size and location&#44; almost as large as the whole heart and adjacent to the left ventricle&#44; the clinical course was excellent&#44; with documented tumor reduction and no need for intervention&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">When established&#44; antenatal diagnosis enables a focused specialized and multidisciplinary approach with individual case management&#44; potentially reducing perinatal morbidity and mortality&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Image in Cardiology
Fetal giant cardiac tumor
Tumor cardíaco gigante no feto
Inês C. Mendes
Autor para correspondência
inescarmomendes@gmail.com

Corresponding author.
, Ana Rita Araújo, Rui Anjos, Ana Teixeira
Pediatric Cardiology Department, Hospital de Santa Cruz, Carnaxide, Portugal
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Informação do artigo
ISSN: 08702551
Idioma original: Inglês
DOI:10.1016/j.repc.2016.09.022
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