[Fetal congestive heart failure due to nodal tachycardia: in utero digoxin therapy ]

The authors report one case of fetal congestive heart failure secondary to nodal tachycardia, revealed in the 26th week of gestation. Transplacental digoxin treatment stopped the tachycardia in a few days and allowed the pregnancy to continue to term, with delivery of a normal child. This report shows the value of fetal echocardiography in cases with arrhythmias, the possibility of in utero digoxin treatment of supraventricular tachycardia and the follow-up procedures.