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Refractory Fetal Supraventricular Tachycardia with Hydrops Successfully Converted by Intraperitoneal Flecainide in
Cathrine Vedel1,2, Niels Vejlstrup3, Lisa Neerup Jensen4
1Center of Fetal Medicine and Pregnancy, Department of Obstetrics, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark, cathrinevedel@gmail.com.
Introduction:
Supraventricular tachycardia is the most common fetal tachyarrhythmia and if persistent often associated with fetal hydrops which can cause intrauterine and neonatal death.
Case Presentation:
We present a case of early second trimester supraventricular tachycardia in a hydropic fetus, initially refractory to transplacental treatment.
Conclusion:
The supraventricular tachycardia was successfully treated when supplemented with intraperitoneal flecainide in the fetus.
