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.
|
Authors | U Gembruch, M Hansmann, D A Redel, R Bald, G Knöpfle |
Journal | Geburtshilfe und Frauenheilkunde
(Geburtshilfe Frauenheilkd)
Vol. 48
Issue 7
Pg. 494-9
(Jul 1988)
ISSN: 0016-5751 [Print] Germany |
Vernacular Title | Nichtimmunologisch bedingter Hydrops fetalis bei komplettem atrioventrikulären Block des Feten. Eine Zusammenstellung von elf pränatal diagnostizierten Fällen. |
PMID | 3215445
(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
|