Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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Complete congenital foetal heart block: a case report

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: deym1@yahoo.com
Keywords:

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


Published online: Apr 24 2014

Abstract

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.