Aggressive direct treatment of a fetus with supraventricular tachycardia and hydrops fetalis

P. Jouppila, L. Mäkäräinen, Juha Rasanen, M. Valkama, T. Paavilainen

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We report a case, in which direct fetal therapy by amiodarone injected into the umbilical vein during the last trimester of pregnancy was used for the treatment of fetal supraventricular tachyarrhythmia in the presence of severe hydrops fetalis. Eight injections were needed due to the recurrence of supraventricular tachycardia 1–9 days after the initial normalization of fetal tachycardia after each puncture. A severe fetal hydrops was maintained despite the achievement of sinus rhythm, and thus two ascites draining procedures were performed during the last 3 days before delivery to expand the fetal lungs. A normorhythmic hydropic baby was born by Cesarean section at 34 weeks + 6 days. Only mild respiratory difficulties occurred after birth. Her electrocardiogram suggests a Wolff–Parkinson–White syndrome but the overall recovery has been uneventful.

Original languageEnglish (US)
Pages (from-to)279-283
Number of pages5
JournalUltrasound in Obstetrics and Gynecology
Volume3
Issue number4
DOIs
StatePublished - 1993
Externally publishedYes

Fingerprint

Hydrops Fetalis
Supraventricular Tachycardia
Tachycardia
Fetus
Fetal Therapies
Umbilical Veins
Amiodarone
Third Pregnancy Trimester
Punctures
Ascites
Cesarean Section
Edema
Electrocardiography
Parturition
Recurrence
Pregnancy
Lung
Injections
Therapeutics

Keywords

  • amiodarone
  • arrhythmia
  • fetus
  • heart
  • hydrops fetalis

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Reproductive Medicine
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynecology

Cite this

Aggressive direct treatment of a fetus with supraventricular tachycardia and hydrops fetalis. / Jouppila, P.; Mäkäräinen, L.; Rasanen, Juha; Valkama, M.; Paavilainen, T.

In: Ultrasound in Obstetrics and Gynecology, Vol. 3, No. 4, 1993, p. 279-283.

Research output: Contribution to journalArticle

Jouppila, P. ; Mäkäräinen, L. ; Rasanen, Juha ; Valkama, M. ; Paavilainen, T. / Aggressive direct treatment of a fetus with supraventricular tachycardia and hydrops fetalis. In: Ultrasound in Obstetrics and Gynecology. 1993 ; Vol. 3, No. 4. pp. 279-283.
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