Successful management of fetal hydrops due to congenitally complete atrioventricular block.
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.
Sivarajah
Jacintha
J
Department of Paediatric Cardiology, Guy's Hospital, London, UK.
Huggon
Ian C
IC
Rosenthal
Eric
E
D000318:Adrenergic beta-Agonists / Q000627:therapeutic use; D000328:Adult; D000420:Albuterol / Q000627:therapeutic use; D005260:Female; D006327:Heart Block / Q000151:congenital*; D006801:Humans; D015160:Hydrops Fetalis / Q000209:etiology* / Q000628:therapy*; D007231:Infant, Newborn; D010138:Pacemaker, Artificial; D011247:Pregnancy
D000318:Adrenergic beta-Agonists; D000420:Albuterol