Multiple direct fetal amiodarone administration for supraventricular tachycardia with hydrops fetalis: a case report.

ABSTRACT:

Background

Fetal supraventricular tachycardia (SVT) is the most common fetal tachyarrhythmia and can cause fetal heart failure and intrauterine death. The management varies within institution and usually based on published case series, institutional experience.

Case summary

Fetal SVT with hydrops (ascites and subcutaneous edema) was diagnosed at 26 weeks of gestational age. The first direct injection of fetal amiodarone into the umbilical vein resulted in temporary cardioversion to the sinus rhythm and mild transient maternal adverse event. The second direct fetal amiodarone to the fetal peritoneal cavity resulted in conversion to sinus rhythm, resolution of fetal hydrops, and normal fetal growth until delivery at 39 weeks gestational age.

Discussion

Treatment of feta

SUBMITTER: Adenin I 

PROVIDER: S-EPMC10088357 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature