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Tucker Roussin is a four-year-old healthy boy. When his mother, Katie, was 20 weeks pregnant, he was diagnosed with a pericardial teratoma, an extremely rare tumor that grows on the lining surrounding the heart. The tumor was almost as large as his tiny heart, and it was growing quickly. Clinicians at the Center for Fetal Diagnosis and Treatment at Children’s Hospital of Philadelphia (CHOP) recommended an open fetal surgery to remove the tumor.