Complete congenital foetal heart block: a case report


congenital heart block, SLE, Ro/ SSA, La/ SSB, Dexamethasone

Published online: Apr 24 2014

M. Dey, T. Jose, A. Shrivastava, R.D. Wadhwa, R. Agarwal, V. Nair

Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India – 411040

Correspondence at:


Congenital heart block (CHB) is the most severe manifestation of neonatal lupus which can develop into a lethal atrioventricular (AV) block. Complete congenital foetal heart block related to maternal anti-Ro/SSA autoanti­bodies typically develops between 20 and 24 weeks of gestation. CHB with a structurally normal heart is frequently associated with maternal autoantibodies to Ro/SSA and La/SSB. We are presenting a case of foetal complete CHB with high maternal Ro/SSA and La/SSB titre with favourable outcome.