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Many cases of fetal cardiomyopathy develop during the second or third trimester. Similarly, fetal cardiac tumors typically present during the second or third trimester, but tumors have not previously been found to cause dilated cardiomyopathy during fetal life. We report a case of an infiltrative fetal cardiac fibroma presenting as a form of right ventricular dilated cardiomyopathy during the second trimester. Fetal cardiomyopathy secondary to an infiltrative cardiac tumor should be considered in the differential of fetal dilated cardiomyopathy.<\/jats:p>","DOI":"10.1007\/s00246-026-04270-8","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T10:58:02Z","timestamp":1777028282000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fetal cardiomyopathy secondary to infiltrative cardiac fibroma"],"prefix":"10.1007","author":[{"given":"Myriam","family":"Almeida-Jones","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Pruetz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Goldstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Tran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruchira","family":"Garg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Sklansky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"issue":"4","key":"4270_CR1","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1017\/S1047951105000855","volume":"15","author":"S Sivasankaran","year":"2005","unstructured":"Sivasankaran S, Sharland GK, Simpson JM (2005) Dilated cardiomyopathy presenting during fetal life. 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