Neonatal lupus erythematosus with congenital heart block and severe heart failure due to myocarditis and endocardititis of the mitral valve.

Détails

ID Serval
serval:BIB_F4CCB6857B42
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Neonatal lupus erythematosus with congenital heart block and severe heart failure due to myocarditis and endocardititis of the mitral valve.
Périodique
Intensive care medicine
Auteur(s)
Ferrazzini G., Fasnacht M., Arbenz U., Seger R., Biedermann R., Simma B., Uehlinger J., Dangel P., Fanconi S.
ISSN
0342-4642
Statut éditorial
Publié
Date de publication
1996
Peer-reviewed
Oui
Volume
22
Numéro
5
Pages
464-6
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Résumé
We report a case of neonatal lupus erythematosus (NLE) with congenital heart block and severe myocardial failure, which was followed from the 25th week of gestation because of fetal bradycardia. The child was delivered at the 37th week of gestation by elective cesarean section because of echocardiographically documented heart enlargement, pericardial effusion and moderate insufficiency of the mitral and tricuspid valves. In spite of immediate pacing, intubation and supportive treatment, the newborn developed progressive heart failure. Echocardiography showed endocarditis of the mitral valve and diffuse myocarditis. The heart failure resolved under steroid treatment. Our experience supports the early use of steroids in treating myocarditis due to NLE. Intrauterine steroid treatment in the presence of fetal hydrops and congenital heart block is discussed.
Mots-clé
Adult, Cesarean Section, Endocarditis, Female, Heart Block, Heart Failure, Humans, Infant, Newborn, Lupus Erythematosus, Systemic, Mitral Valve Insufficiency, Myocarditis, Pregnancy, Ultrasonography, Prenatal
Pubmed
Web of science
Création de la notice
25/01/2008 11:06
Dernière modification de la notice
20/08/2019 17:21
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