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Congenital Complete Atrioventricular Block. Case Report and Review of the Literature

dc.contributor.authorMassa, AC
dc.contributor.authorFreitas, I
dc.contributor.authorBorges, A
dc.contributor.authorSerrano, F
dc.date.accessioned2016-02-17T12:52:57Z
dc.date.available2016-02-17T12:52:57Z
dc.date.issued2015
dc.description.abstractIntroduction: Congenital complete atrioventricular block (AVB) without cardiac malformation is a rare and potentially fatal condition. In most cases it is associated with maternal systemic lupus erythematosus through transplacental passage of antibodies anti-SSA/Ro and/or anti-SSB/La. Antenatal fluorinated-steroids have been successful in reversing first and second degree congenital AVB but inconsistent in third degree block. Case Report:The authors report a case of fetal bradycardia diagnosed at 24 weeks of gestation. The fetal echocardiogram revealed a second/third degree AVB without structural heart disease. Maternal anti-SSA/Ro antibodies were detected. There was no blockage improvement with maternal oral fluorinated-steroids. An elective cesarean section was performed at term with the delivery of a healthy girl that required an epicardical pacemaker on the 8th day of life. Conclusion: In this case, treatment with maternal fluorinated corticosteroids was not effective in preventing progression of the heart block.pt_PT
dc.identifier.citationActa Obstet Ginecol Port 2015; 9 (4): 318-321pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2387
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFederação das Sociedades Portuguesas de Obstetrícia e Ginecologiapt_PT
dc.subjectMAC MED MAFpt_PT
dc.subjectMAC MEDpt_PT
dc.subjectHSM CAR PEDpt_PT
dc.subjectAtrioventricular Blockpt_PT
dc.subjectAntibodiespt_PT
dc.subjectSteroids, Fluorinatedpt_PT
dc.subjectPregnancypt_PT
dc.titleCongenital Complete Atrioventricular Block. Case Report and Review of the Literaturept_PT
dc.title.alternativeBloqueio Aurículo-Ventricular Completo Congénito. Caso Clínico e Revisão da Literaturapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage321pt_PT
oaire.citation.startPage318pt_PT
oaire.citation.titleActa Obstétrica e Ginecológica Portuguesapt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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