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Tachyarrhythmia, cardiac rhabdomyomata and fetal hydrops in a premature infant with tuberous sclerosis
Author(s) -
SCURRY J.,
WATKINS A.,
ACTON C.,
DREW J.
Publication year - 1992
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1992.tb02659.x
Subject(s) - medicine , polyhydramnios , tuberous sclerosis , hydrops fetalis , presentation (obstetrics) , gestation , pregnancy , cardiology , pediatrics , obstetrics , pathology , genetics , biology
An hydropic infant was delivered at 32 weeks gestation by emergency Caesarean section for acute polyhydramnios. A diagnosis of cardiac rhabdomyomata was made on echocardiography. The baby survived 10 days, during which time repeated episodes of supraventricular tachycardia occurred. She eventually died of cardiac failure following an episode of septicaemia, convulsions and aspiration pneumonia. Necropsy showed multiple cardiac rhabdomyomata and numerous cerebral germinal layer and periventricular white matter nodules. This case stresses the importance of clinical investigations and perinatal necropsy in non‐immune hydrops fetalis (NIHF) in determining the causes of clinical presentation and the underlying pathology.