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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 [email protected]

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

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