title: Fetal hydrops due to a tachyarrhythmia progressing to organic pulmonary stenosis.
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.
authors.affiliation: Department of Cardiology, Istituti Clinici di Perfezionamento, Milan, Italy. cardioped.icp@unimi.it
authors.forename: V
authors.initials: V
authors.lastname: Fesslova
authors.forename: L
authors.initials: L
authors.lastname: Villa
authors.forename: U
authors.initials: U
authors.lastname: Nicolini
mesh_terms: D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D004077:Digoxin / Q000627:therapeutic use; D015150:Echocardiography, Doppler; D005260:Female; D005424:Flecainide / Q000627:therapeutic use; D006801:Humans; D015160:Hydrops Fetalis / Q000000981:diagnostic imaging / Q000209:etiology*; D007231:Infant, Newborn; D011247:Pregnancy; D011666:Pulmonary Valve Stenosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013610:Tachycardia / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy
chemical_list: D000889:Anti-Arrhythmia Agents; D004077:Digoxin; D005424:Flecainide