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Z Geburtshilfe Neonatol 2017; 221(04): 175-179
DOI: 10.1055/s-0043-115228
Review
© Georg Thieme Verlag KG Stuttgart · New York

Fetal Cardiac Myxomas

Shi-Min Yuan
1   Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, China
› Author Affiliations
Further Information

Publication History

received 27 March 2017

accepted 19 June 2017

Publication Date:
11 August 2017 (online)

Also available at
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Abstract

Fetal cardiac myxomas are very rare. To date there has been no representative description of fetal cardiac myxomas. The aim of this study is to highlight the clinical features, possible outcomes and the disparities from the adult cardiac myxomas and other fetal cardiac tumors.

A comprehensive literature review yielded 27 reports including 32 cases of fetal cardiac myxomas.

Apart from the same pedunculated and solitary nature and echogenic appearance, fetal cardiac myxomas differ from those in adults in many aspects, including tumor location, clinical manifestation and malignant potential. Fetal cardiac myxomas are the most common in the left ventricle and the least common in the left atrium. Tumor size and tumor site could be predictive risk factors of adverse cardiac events of fetuses.

Their clinical courses are often benign with fewer cases of adverse cardiac events. Prenatal echocardiography is a reliable diagnostic technique, which can detect cardiac myxomas at as early as 18 weeks gestation. Differential diagnosis should be made from other types of fetal cardiac tumors. Postnatal cardiac myxoma resection may provide a good prognosis.

Key words

heart neoplasms - myxoma - prenatal diagnosis
 

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