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Karger Publishers, Fetal Diagnosis and Therapy, 9(47), p. 717-720, 2020

DOI: 10.1159/000508811

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Refractory Fetal Supraventricular Tachycardia with Hydrops Successfully Converted by Intraperitoneal Flecainide in the Fetus: A Case Report

Journal article published in 2020 by Cathrine Vedel ORCID, Niels Vejlstrup, Lisa Neerup Jensen, Charlotte Kvist Ekelund, Lone Nikoline Nørgaard ORCID, Lotte Harmsen, Olav Bjørn Petersen ORCID, Edgar Jaeggi, Ulrich Gembruch ORCID, Karin Sundberg
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

<b><i>Introduction:</i></b> Supraventricular tachycardia is the most common fetal tachyarrhythmia and if persistent often associated with fetal hydrops which can cause intrauterine and neonatal death. <b><i>Case Presentation:</i></b> We present a case of early second trimester supraventricular tachycardia in a hydropic fetus, initially refractory to transplacental treatment. <b><i>Conclusion:</i></b> The supraventricular tachycardia was successfully treated when supplemented with intraperitoneal flecainide in the fetus.