All issues > Volume 36(8); 1993

Case Report

J Korean Pediatr Soc. 1993;36(8):1165-1170. Published online August 15, 1993.

A Case of Fetal Atrial Flutter with Hydrops Fetalis

Seong Hang SH Choi¹, Kee Hyoung KH Lee¹, Chang Sung CS Sohn¹, Ju Won JW Lee¹, Young Chang YC Tockgo¹

¹Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea

Abstract

Fetal hydrops is often serious and associated with a high perinatal motality rate. Cardiac causes of fetal hydrops include congenital heart diseases and rhythm disturbances. An irregular fetal heart rate may indicate atrial fibrillation and atrial flutter with variable AV conduction. Fetal atrial flutter is characterized by the pressence of flutter waves which are regular sawtooth undulations in the baseline that are larger than p waves. Authors experienced a case of fetal atrial flutter with hydrops fetalis at 30 week's gestation which was confirmed by fetal M-mode echocardiogram and electrocardiography. A new born infant had shown to have atrial flutter in utero and after delivery was successfully converted to normal sinus rhythm with digoxin and quinidene.

Keywords :Fetal atrial flutter