Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-27T06:24:39.951Z Has data issue: false hasContentIssue false

Fetal hydrops due to a tachyarrhythmia progressing to organic pulmonary stenosis

Published online by Cambridge University Press:  19 August 2008

V. Fesslova*
Affiliation:
Department of Cardiology, Istituti Clinici di Perfezionamento, University of Milan, Milan, Italy
L. Villa
Affiliation:
Department of Cardiology, Istituti Clinici di Perfezionamento, University of Milan, Milan, Italy
U. Nicolini
Affiliation:
1st Obstetric-Gynecology Clinic, University of Milan, Milan, Italy
*
Dr Vlasta Fesslova, Dpt Cardiology, Istituti Clinici di Perfezionamento, Via Commenda 12, Milano 20122, Italy Tel 39–2–5799–2351, Fax 39–2–5799–2356, E-mail cardioped.icp@unimi.it

Abstract

We discovered supraventricular tachycardia with advanced hydrops in the setting of normal cardiac anatomy at 26 weeks of gestation which resolved successfully following administration of digoxin and flecainide to the mother. A female baby was born after a premature rupture of the membranes at 30.6 weeks. The neonate was in sinus rhythm, showed a progressive regression of right ventricular insufficiency, but developed signs of acquired pulmonary valvar and subvalvar stenosis at 2 months of age.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Kleinmann, CS, Donnerstein, RL, De Vore, GR, Jaffe, CC, Lunch, DC, Berkowitz, RL, Tamer, NS, Hobbins, JC. Fetal echocardio raphy for evaluation of in utero congestive heart failure. N Engi J Med 1982; 306: 568575CrossRefGoogle Scholar
2.Silvermann, NH, Kleinman, CS, Rudolph, AM, Copel, JA, Weiner, EM, Enderlein, BSM, Golbus, M. Fetal atrioventricular insufficiency associated with non-immune hydrops: a two dimensional echocardiographic and pulsed Doppler ultrasound study. Circulation 1985; 72: 825832CrossRefGoogle Scholar
3.Allan, LD, Crawford, DC, Sheridan, R, Chapman, MG. Aetiology of non-immune hydrops: value of echocardiography. Br J Obstet Gynaecol 1986; 93: 223225CrossRefGoogle ScholarPubMed
4.Todros, T, Presbitero, P, Gagliotti, P, Demarie, D. Pulmonary stenosis with intact ventricular septum: documentation of development of the lesion echocardiographically during fetal life. Int J Cardiol 1988; 19: 355360CrossRefGoogle ScholarPubMed
5.Zosmer, M, Bajoria, R, Weiner, E, Rigby, M, Vaughan, J, Fisk, NM. Clinical and echogra features of in utero cardiac dysfunction in the recipient twin in twin-twin transfusion syndrome. Br Heart H 1994; 72: 74–49CrossRefGoogle Scholar
6.Maxwell, DJ, Crawford, DC, Curry, PVM, Tynan, MJ, Allan, LD. Obstetric importance, diagnosis and management of fetal tachycardias. Br Med J 1987; 197: 107110Google Scholar
7.Van Engelen, A, Weitens, O, Brenner, JI, Kleinman, CS, Copel, JA, Stoteenbeek, P, Meijboom, EJ. Management, outcome and follow-up of fetal tachycardia. J Am Coil Cardiol 1994; 24: 13711375CrossRefGoogle ScholarPubMed