Recurrent second-trimester intrauterine fetal death due to undiagnosed atrioventricular block: a case report

Ahmed M. Abbas, Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt
Sief El-Eslam A. Ali, Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt
Armia Michael, Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt

Abstract

Fetal cardiac abnormalities are one of the common causes of non-immune fetal hydrops. Early diagnosis and treatment may prevent the late consequences that can occur as heart failure and intrauterine fetal death. Herein we report the case of a 32-year-old patient with a history of recurrent second trimester intrauterine fetal death. She presented with fetal hydrops at 23 weeks. A detailed echocardiography revealed that the fetus had a third degree atrioventricular block and advanced hydropic changes due to heart failure. Corticosteroid therapy was started but the fetus died in utero after 2 weeks.

 

URL

http://ir.uiowa.edu/pog_in_press/75