Large Primary Right Ventricular Teratoma in an Adult

Heart surgery by the locals in resource-limited settings: The experience from Ethiopia

“…Histologic study of the excised mass showed mature teratoma of the right ventricle 18 ; this kind of right ventricle tumor is exceedingly rare and only few cases are reported. 19 …”

“…3 In-hospital mortality among children younger than age 18 years after surgery for congenital heart disease, based on a designated risk score called Risk Adjustment for Congenital Heart Surgery 1, which was based on the categorization of several surgical procedures (palliative or corrective) showed variable in-hospital mortality rates according to risk. For the Pediatric Cardiac Care Consortium data, mortality rates were 0.4% in category 1%, 3.8% in category 2%, 8.5% in category 3%, 19.4% in category 4%, and 47.7% in category 6. 4 With an estimated population of 1 billion persons in Sub-Saharan Africa from Maghreb to South Africa, there are reports that some countries in this region started doing heart surgery in the 1970s.…”

Incidental finding of an adult intracardiac teratoma

“…Only two adult cases who were pathologically diagnosed with primary benign intracardiac teratoma have been reported so far, both of which were found due to the large tumors causing related symptoms. 2,3 Their tumor lesions were also originated from the right ventricle. 4 Intracardiac teratomas are often characterized by outflow tract obstruction, pulmonary embolism, arrhythmias, and systemic symptoms, depending on their size and location.…”

“…In adults, the majority of intracardiac teratomas reported in the literature are secondary metastases of testicular origin, with rare incidental discovery of primary intracardiac teratoma in adulthood. Only two adult cases who were pathologically diagnosed with primary benign intracardiac teratoma have been reported so far, both of which were found due to the large tumors causing related symptoms 2,3 . Their tumor lesions were also originated from the right ventricle 4 .…”