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[Non-immunologically-induced hydrops fetalis in complete atrioventricular block of the fetus. A summary of 11 prenatally diagnosed cases].

Abstract
In 11 of 21 fetuses with prenatally diagnosed complete heart block, congestive heart failure with signs of non-immune hydrops fetalis was seen. In all 11 fetuses, cardiac malformations were present: complete atrioventricular canal with levocardia, situs inversus viscerum, and polysplenia: 5 cases; tricuspid atresia with situs inversus viscerum, endocardial fibroelastosis, common atrium with aortic valve atresia, hypoplastic left heart, atrial septal defect of secundum type: one case each. All these cardiac malformations can also cause intrauterine heart failure without heart block except hypoplastic left heart and atrial septal defect. A review of the literature confirms, that only the association between complete heart block and cardiac malformation--in particular AV-canal and endocardial fibroelastosis--can cause an intrauterine congestive heart failure, whereas in the case of fetal complete heart block without cardiac malformation or with prenatally hemodynamically insignificant cardiac malformations--in particular "corrected" transposition of great arteries--a congestive heart failure is rare.
AuthorsU Gembruch, M Hansmann, D A Redel, R Bald, G Knöpfle
JournalGeburtshilfe und Frauenheilkunde (Geburtshilfe Frauenheilkd) Vol. 48 Issue 7 Pg. 494-9 (Jul 1988) ISSN: 0016-5751 [Print] Germany
Vernacular TitleNichtimmunologisch bedingter Hydrops fetalis bei komplettem atrioventrikulären Block des Feten. Eine Zusammenstellung von elf pränatal diagnostizierten Fällen.
PMID3215445 (Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Echocardiography
  • Edema (congenital, diagnosis)
  • Electrocardiography
  • Female
  • Gestational Age
  • Heart Block (congenital, diagnosis)
  • Heart Defects, Congenital (diagnosis)
  • Heart Failure (congenital)
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Prenatal Diagnosis

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