Fetal echocardiography for evaluation of in utero congestive heart failure.

Thirteen fetuses with nonimmune hydrops (22 to 39 weeks of gestation) were evaluated with two-dimensional and M-mode echocardiography. Ten fetuses had cardiovascular abnormalities resulting in heart failure, and three had noncardiac causes of hydrops. In three cases, hydrops was caused by supraventricular tachycardia. One of these fetuses responded to cardioversion at birth, another responded to transplacental digoxin therapy, and the third died with atrial flutter and high-grade atrioventricular block before delivery. There were no cases of "idiopathic" hydrops. Our results show that fetal echocardiography is useful in determining cardiac causes of in utero heart failure resulting in hydrops fetalis. The fetal echocardiogram may also be used in monitoring transplacental therapy of heart failure.

[1]  J. Covell,et al.  A comparison of pressure-volume relations of the fetal, newborn, and adult heart. , 1972, The American journal of physiology.

[2]  J. Hobbins,et al.  Echocardiographic studies of the human fetus: prenatal diagnosis of congenital heart disease and cardiac dysrhythmias. , 1980, Pediatrics.

[3]  R. Schreiner,et al.  Atrial tachy-arrhythmias associated with massive edema in the newborn , 1978, Journal of perinatal medicine.

[4]  R. Naeye,et al.  Prenatal Narrowing or Closure of the Foramen Ovale , 1964, Circulation.

[5]  R. Cooke,et al.  Familial congenital heart block and hydrops fetalis. , 1980, Archives of disease in childhood.

[6]  J. Edwards,et al.  Congenital Insufficiency of the Pulmonary Valve: Including a Case of Fetal Cardiac Failure , 1959 .

[7]  M. Zach,et al.  [Congenital atrial flutter with hydrops fetalis caused by tocolytic therapy (author's transl)]. , 1979, Klinische Pädiatrie.

[8]  C. Whitten,et al.  ANEURYSMAL MALFORMATION OF THE GREAT VEIN OF GALEN CAUSING HEART FAILURE IN EARLY INFANCY , 1963, Pediatrics.

[9]  R. Arcilla,et al.  Congestive heart failure from suspected ductal closure in utero. , 1969, The Journal of pediatrics.

[10]  JT Harrigan Successful treatment of fetal congestive heart failure secondary to tachycardia , 1981, New England Journal of Medicine.

[11]  A. Wedemeyer,et al.  Cardiac neoplasm, tachyarrhythmia, and anasarca in an infant. , 1975, American journal of diseases of children.

[12]  M. Sharf,et al.  Intrauterine diagnosis and control of fetal ventricular arrhythmia during labor. , 1975, American journal of obstetrics and gynecology.

[13]  G. Cassady,et al.  Neonatal paroxysmal supraventricular tachycardia with hydrops. , 1975, Pediatrics.

[14]  M. A. Engle,et al.  CONGENITAL INSUFFICIENCY OF THE PULMONIC VALVE A Rare Cause of Neonatal Heart Failure , 1961 .

[15]  G. Emmanouilides,et al.  Intrauterine Cardiac Failure with Hydrops Fetalis , 1973, Clinical pediatrics.

[16]  R. Durnin,et al.  Intrauterine atrial tachycardia, associated with massive edema in a newborn. , 1969, American journal of diseases of children.

[17]  W. Friedman,et al.  The intrinsic physiologic properties of the developing heart. , 1972, Progress in cardiovascular diseases.

[18]  M. H. Gault,et al.  Coronary thrombosis with myocardial infarction in a newborn infant. Clinical, electrocardiographic and post-mortem findings. , 1960, The New England journal of medicine.

[19]  J. R. Jacobsen,et al.  Intrauterine Supraventricular Tachycardia , 1978, Acta obstetricia et gynecologica Scandinavica.

[20]  W. Roper,et al.  Congenital complete heart block associated with hydrops fetalis. , 1977, The Journal of pediatrics.

[21]  E. Bossi,et al.  Effect of propranolol on fetal tachycardia in diabetic pregnancy. , 1978, The American journal of cardiology.

[22]  J. Moller,et al.  Fetal cardiac failure resulting from congenital anomalies of the heart. , 1966, The Journal of pediatrics.

[23]  J. Baum,et al.  Oedema in the newborn , 1977 .

[24]  J. F. Keane,et al.  Intrauterine supraventricular tachycardia. , 1979, The Journal of pediatrics.

[25]  J. Lemons,et al.  Nonimmune hydrops fetalis: report of 22 cases including three siblings. , 1979, Pediatrics.

[26]  U. Chitkara,et al.  TRANSPLACENTAL CARDIOVERSION OF INTRAUTERINE SUPRAVENTRICULAR TACHYCARDIA WITH DIGITALIS , 1980, The Lancet.