Successful treatment of refractory supraventricular tachycardia by repeat intravascular injection of amiodarone in a fetus with hydrops.

@article{Mangione1999SuccessfulTO,
  title={Successful treatment of refractory supraventricular tachycardia by repeat intravascular injection of amiodarone in a fetus with hydrops.},
  author={Raphaele Mangione and Fr{\'e}d{\'e}ric Guyon and Anne-Claire Vergnaud and Mar{\'i}a Sevillano Jim{\'e}nez and Robert Saura and Jacques Horovitz},
  journal={European journal of obstetrics, gynecology, and reproductive biology},
  year={1999},
  volume={86 1},
  pages={105-7}
}
We report the case of a fetus with supraventricular tachycardia complicated by congestive heart failure and ascites. After failure of initial transplacental treatment, the injection of amiodarone into the umbilical vein combined with evacuation of ascites achieved conversion to sinus rhythm and restored cardiac function thus allowing pregnancy to go to term. This report suggests that direct fetal therapy by umbilical vein puncture and evacuation of effusions constitutes an effective treatment… CONTINUE READING