頁籤選單縮合
題 名 | Successful Treatment of Atrial Flutter by Repeated Intraperitoneal and Intra-Amniotic Injections of Amiodarone in a Fetus with Hydrops |
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作 者 | Lin, Pei-hsuan; Wu, Hsin-hung; Tsai, Horng-der; Hsieh, Charles Tsung-che; | 書刊名 | Taiwanese Journal of Obstetrics & Gynecology |
卷 期 | 55:3 2016.06[民105.06] |
頁 次 | 頁434-436 |
分類號 | 417.343 |
關鍵詞 | Amiodarone; Fetal atrial flutter; Fetal direct treatment; Hydrops fetalis; |
語 文 | 英文(English) |
英文摘要 | Objective: We report a case of nonimmune hydrops fetalis caused by atrial flutter, which was successfully treated by intraperitoneal and intra-amniotic injections of amiodarone. Case Report: A 27-year-old woman presented at 30 weeks of pregnancy with hydrops fetalis caused by a fetal atrial flutter. As the transplacental passage of antiarrhythmic agents is impaired in hydrops fetalis, we chose direct treatment using fetal intraperitoneal and intra-amniotic injections (75e300 mg) of amiodarone. We managed to successfully convert the fetal atrial flutter to normal sinus rhythm. The woman delivered a live female baby at 33 weeks of gestation with normal sinus rhythm and neurological development. Conclusion: Intrauterine antiarrhythmic treatment can reduce perinatal morbidity and mortality. This report suggests that direct fetal therapy using intraperitoneal or intra-amniotic injections of amiodarone constitutes an effective treatment for atrial flutter in cases of hydrops fetalis. |
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