Hydrops Fetalis

Maryam Moradian

doi:10.5812/acvi.17300

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Except where otherwise noted, this work is licensed under Creative Commons Attribution-NonCommercial 4.0 International License.

This article, by Iranian Society of Echocardiography , is licensed under a Creative Commons Attribution License .

Hydrops Fetalis

Maryam Moradian, MD ^1, ^*

¹ Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

*Corresponding author: Maryam Moradian, MD, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran. Tel/Fax: +98-2123922170, E-mail: maryam_moradian2008@yahoo.com.

Archives of Cardiovascular Imaging. 2014 February; 2(1) , DOI: 10.5812/acvi.17300

Article Type: Discussion; Received: Jan 6, 2014; Accepted: Feb 1, 2014; epub: Feb 18, 2014; ppub: Feb 2014

Keywords: Hydrops Fetalis; Tachycardia

1. Introduction

A 30-year-old pregnant woman referred for the evaluation of fetal arrhythmia to our Fetal Echocardiography Laboratory. The following images were obtained. Based on the fetal echocardiography, what is the diagnosis?

Figure 1.

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2. Answer

The fetal heart rate is 297 beats per minute [supraventricular tachycardia (SVT)], and there is accumulation of fluid in the plural and abdominal cavities. Consequently, the fetus is suffering from hydrops fetalis.

3. Comment

Hydrops fetalis is found in about one per 2000 births and is categorized as immune or nonimmune hydrops. Cardiac arrhythmias, especially SVT, flutter, heart block, and Wolff–Parkinson–White syndrome are among the important causes of nonimmune hydrops.