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Successful management of fetal hydrops due to congenitally complete atrioventricular block

Published online by Cambridge University Press:  24 May 2005

Jacintha Sivarajah ,
Ian C. Huggon  and
Eric Rosenthal
Jacintha Sivarajah
Affiliation:
Department of Paediatric Cardiology, Guy's Hospital, London, UK
Ian C. Huggon
Affiliation:
Fetal Cardiology Unit, Harris Birthright Research Centre for Fetal Medicine, Kings College Hospital, London, UK
Eric Rosenthal
Affiliation:
Department of Paediatric Cardiology, Guy's Hospital, London, UK
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Abstract

At 32 weeks, a fetus was found to be hydropic with congenitally complete heart block in an asymptomatic mother who was positive to anti-Ro antibodies. Maternal therapy with oral salbutamol was successful in prolonging gestation for a period of 3 weeks so that preterm delivery was delayed until the 35th week of gestation. Following treatment with inotropes and diuretics, a permanent transvenous pacemaker was implanted at 8 weeks of age. The child is now thriving at 20 months of age.

Keywords

Fetal hydropsheart blocksalbutamolpacemaker
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 4 , August 2003 , pp. 380 - 383
Copyright
© 2003 Cambridge University Press

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