<p>Tufted angioma is a rare benign vascular tumor, and cardiac involvement is exceptionally uncommon. A term neonate with prenatal pericardial effusion developed recurrent tamponade despite drainage and medical therapy. Surgical exploration revealed a pericardial tufted angioma confirmed histologically. Recurrent neonatal pericardial effusion unresponsive to conventional therapy should prompt suspicion of vascular tumors. Early biopsy and targeted therapy with sirolimus and vincristine may be lifesaving.</p>

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Neonatal Cardiac Tamponade Caused by a Pericardial Tufted Angioma: A Rare Cause of Fetal Pericardial Effusion and a Multidisciplinary Treatment Approach

  • Burcu Büşra Acar Alkan,
  • Osman Nuri Tuncer,
  • Demet Terek,
  • Tülay Öztürk Atasoy,
  • Ayshe Gadashova,
  • Eda Ataseven,
  • Ertürk Levent,
  • Zülal Ülger

摘要

Tufted angioma is a rare benign vascular tumor, and cardiac involvement is exceptionally uncommon. A term neonate with prenatal pericardial effusion developed recurrent tamponade despite drainage and medical therapy. Surgical exploration revealed a pericardial tufted angioma confirmed histologically. Recurrent neonatal pericardial effusion unresponsive to conventional therapy should prompt suspicion of vascular tumors. Early biopsy and targeted therapy with sirolimus and vincristine may be lifesaving.