Ultrasound Findings in Fetal Congenital Heart Block Associated With Maternal Anti-Ro/SSA and Anti-La/SSB Antibodies

被引：5
|
作者：
Lai, Jasmine [1 ]
Clark, Toshi J. [2 ]
Tan, Justin H. [3 ]
Delaney, Shani [1 ]
Jolley, Jennifer A. [1 ]
机构：
[1] Univ Washington, Med Ctr, Dept Obstet & Gynecol, Div Maternal Fetal Med, Seattle, WA 98195 USA
[2] Univ Washington, Med Ctr, Dept Radiol, Div Body Imaging, Seattle, WA 98195 USA
[3] Univ Calif San Diego, San Diego Med Ctr, Dept Radiol, San Diego, CA 92103 USA
来源：
ULTRASOUND QUARTERLY | 2015年 / 31卷 / 01期
关键词：
fetal congenital heart block; neonatal lupus erythematosus; fetal bradyarrhythmia; NEONATAL LUPUS; CARDIAC MANIFESTATIONS; ATRIOVENTRICULAR-BLOCK; RECURRENCE RATES; RISK; HYDROXYCHLOROQUINE; MORBIDITY; MORTALITY; REGISTRY;
D O I：
10.1097/RUQ.0000000000000112
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
We present the sonographic features of a second-trimester fetus diagnosed with a bradyarrhythmia at 19 weeks' gestation. The mother carried a diagnosis of Sjogren syndrome, including the presence of SSA and SSB antibodies. Ultrasound M-mode and fetal echocardiogram revealed the etiology of the bradycardia to be a complete fetal congenital heart block, likely due to transplacental passage of autoimmune anti-Ro/SSA and anti-La/SSB antibodies. Consequential to the congenital heart block, the fetus developed hydrops fetalis at 21 weeks' gestational age. We discuss the 2 major etiologies of congenital heart block and the implications in subsequent pregnancies.
引用
收藏
页码：34 / 36
页数：3
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