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- W1548653779 abstract "Fetal sacrococcygeal teratoma can lead to a high output cardiac failure resulting in significant perinatal morbidity and mortality. Fetal therapy for sacrococcygeal teratoma is controversial. This is a report in which ultrasound guided percutaneous radiofrequency ablation was used to reduce blood flow to a sacrococcygeal teratoma for prolongation of pregnancy. We present a case of fetus with solid, highly vascularized sacrococcygeal teratoma diagnosed at 24 weeks of gestation. The tumor increased in size of 12 cm diameter causing polyhydramnios and cardiac and placental enlargement at 29 weeks of gestation. Radiofrequency ablation was performed at 30 weeks' gestation by percutaneously inserting the probe into the middle of the fetal tumor under ultrasonographic guidance. The blood supply to the tumor was successfully reduced with stabilization of high output cardiac failure of the fetus. A female infant weighing 3030 g with a large, vascular sacrococcygeal teratoma was born at 32 weeks' gestation by Cesarean section. The pulmonary and circulatory condition of the infant was under control. Angiography showed large feeding vessels that were successfully embolized. The large, vascular sacrococcygeal teratoma weighing 950 g was surgically excised. The infant was discharged home at 73 days of age without injury. This case shows that successful radiofrequency ablation to reduce the blood supply to the fetal sacrococcygeal teratoma for prolongation of pregnancy is possible." @default.
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- W1548653779 date "2011-09-14" @default.
- W1548653779 modified "2023-09-24" @default.
- W1548653779 title "P22.01: Radiofrequency ablation of fetal sacrococcygeal teratoma" @default.
- W1548653779 doi "https://doi.org/10.1002/uog.9874" @default.
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