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

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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.

About the authors

Yurii I. Kucherov

Speranskiy Children’s Clinical Hospital; Pirogov Russian National Research Medical University

Email: ykucherov@mail.ru
ORCID iD: 0000-0001-7189-373X
SPIN-code: 4391-4472

Dr. Sci. (Med.), Professor

Russian Federation, 29 Shmitovskii proezd, Мoscow, 123317; Moscow

Yulia V. Zhirkova

Speranskiy Children’s Clinical Hospital; Pirogov Russian National Research Medical University

Email: nomail@mail.ru
ORCID iD: 0000-0001-7861-6778
SPIN-code: 5560-6679

Dr. Sci. (Med.), Professor

Russian Federation, 29 Shmitovskii proezd, Мoscow, 123317; Moscow

Marat V. Tarayan

M.F. Vladimirskii Moscow Regional Scientific Research Institute

Email: nomail@mail.ru
ORCID iD: 0000-0003-4620-1679

Cand. Sci (Med.)

Russian Federation, 129110, Moscow, st. Shchepkina 61/2, building 1

Maria V. Samorokovskaya

Speranskiy Children’s Clinical Hospital; Pirogov Russian National Research Medical University

Email: masha-sam94@mail.ru
ORCID iD: 0000-0002-8897-5886

pediatric surgeon

Russian Federation, 29 Shmitovskii proezd, Мoscow, 123317; 1 Ostrovityanova st., 117997, Moscow

LIliia V. Shvets

Speranskiy Children’s Clinical Hospital

Author for correspondence.
Email: lilishv@gmail.com
ORCID iD: 0000-0002-1317-4478

pediatric surgeon

Russian Federation, 29, Shmitovskii proezd, Мoscow, 123317

References

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2. Fig. 1. A CT scan of a newborn. The markings indicate the pathological formation of the mediastinum

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3. Fig. 2. Surgery to remove the tumor: a — the stage of sternotomy, pericardiotomy; b — isolated intrapericardial neoplasm; c — the stage of isolating neoplasms from the structures of the heart; d—macropreparate of the removed neoplasm

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