A case of fetal parvovirus B19 myocarditis, terminal cardiac heart failure, and perinatal heart transplantation

被引：30

作者：

von Kaisenberg, CS ^{[1
]}

Bender, G ^{[1
]}

Scheewe, J ^{[1
]}

Hirt, SW ^{[1
]}

Lange, M ^{[1
]}

Stieh, J ^{[1
]}

Kramer, HH ^{[1
]}

Jonat, W ^{[1
]}

机构：

[1] Univ Kiel, Dept Obstet & Gynaecol, D-24105 Kiel, Germany

来源：

FETAL DIAGNOSIS AND THERAPY | 2001年 / 16卷 / 06期

关键词：

parvovirus B19; infection; fetus; pleura effusions; pericardial effusions; ascites cardiomegaly; heart failure; heart transplantation; dilative cardiomyopathy;

D O I：

10.1159/000053953

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We report a case of fetal cardiomegaly secondary to myocarditis as a result of intrauterine parvovirus B19 infection. The fetus was delivered through Caesarean section because of increasing deterioration of cardiac function at 33 + 3 weeks with reverse flow in the ductus venosus. Four weeks later, a cardiac transplantation was carried out because of therapy-resistant dilative cardiomyopathy. This case shows that fetal parvovirus B19 infection may occur without anemia and myocarditis and does not always result in spontaneous reformation of a dilated heart and normal recovery. It may become the determining prognostic factor for the child. Copyright (C) 2001 S. Karger AG, Basel.

引用

页码：427 / 432

页数：6

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