Ertürk LEVENT, A. Ruhi ÖZYÜREK, Hasan GÜVEN, Aytül PARLAR

Fetal subraventricular tachycardia in one of the twin: A case report

Intrauterin olarak tek bebeklerde fetal ritm bozuklukları bildirilmekle birlikte, çoklu gebeliklerde bebeklerde oluşan ritm bozukluklarıyla ilgili yayınlar nadirdir. Bu çalışmada erken doğum tehdidi nedeniyle magnezyum sülfat alan annenin, kalplerinde yapısal anomali olmayan ikiz bebeklerinin birinde saptanan, fetal supraventriküler taşikardi (SVT) sunulmuştur. Anneye 28. haftada oral digoksin tedavisi verilmiş ve fetal SVT, başarı ile tedavi edilmiştir. 38. haftada doğum olmuş ve SVT olan bebekte geçici takipne gözlenmiştir. Her iki bebekte de doğum sonrası elektrokardiografi, ekokardiografi ve 24-saat holter kayıtları normal olarak saptanmıştır. Bu olgu kalpte yapısal anormallik olmadan, ikiz bebeklerin birinde saptanan fetal SVT ve başarılı tedavisi nedeniyle sunulmuştur.

Anahtar Kelimeler:

Taşikardi, supraventriküler, Gebelik, çoğul, Fetüs, Fetal hastalıklar, Digoksin

İkiz bebeklerin birinde fetal supraventriküler taşikardi: Olgu sunumu

Many cases have been reported about fetal arrhythmia in single fetus, but up to now few data have been reported about fetal arrhythmia in multiple pregnancies. In this study, we presented the case history of fetal supraventricular tachycardia (SVT) in one of twin who has no structural cardiac abnormalities, from a mother treated betamimetic agents and Magnesium sulfate due to imminent preterm. Digoxin was administered to the mother for fetal SVT in the 28th gestational week. Fetal SVT was treated successfully with digoxin. The babies were delivered at 38th week of the gestation. Transient tacypnea was seen in the fetus with SVT for 12 hours. Electrocardiography (ECG), echocardiography and 24-Hour Holter recordings were normal in both of them. We reported this case because of fetal SVT is seen in one of twin who was successfully treated with digoxin although there was no structural abnormality in heart.

Keywords:

Tachycardia, Supraventricular, Pregnancy, Multiple, Fetus, Fetal Diseases, Digoxin,

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