caa a22 4500 445823739 CHVBK 20180317145252.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00246-010-9803-9 doi (NATIONALLICENCE)springer-10.1007/s00246-010-9803-9 Parvovirus-Mediated Fetal Cardiomyopathy With Atrioventricular Nodal Disease [Elektronische Daten] [Shira Fishman, Linda Pelaez, Rebecca Baergen, Sheila Carroll] Acute parvovirus B19 infection (API) in pregnancy has been associated with fetal anemia and hydrops fetalis. Direct myocardial damage from API in a fetus and an infant has been described. This report presents a case of fetal second-degree heart block and cardiomyopathy secondary to API. A 19-year-old G4P1112 (gravida 4 para 2 with 1 term delivery, 1 preterm delivery, 1 termination, and 2 living children) was referred at 20weeks gestation for fetal bradycardia. A 2:1 atrioventricular block was identified by fetal echocardiography at 23weeks. Hydrops developed at 25weeks. Amniocentesis and percutaneous umbilical blood sampling demonstrated API. At 31weeks, the patient presented with preterm labor and delivered a viable female infant, who died of poor cardiac function and arrhythmia on the first day of life. In addition to fetal anemia and hydrops fetalis, API in pregnancy may cause direct fetal myocardial damage and conduction system disease. Springer Science+Business Media, LLC, 2010 Atrioventricular nodal disease nationallicence Fetal cardiomyopathy nationallicence Fetal digoxin nationallicence Parvovirus B19 nationallicence Fishman Shira Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, 525 East 68th Street, Box 122, 10065, New York, NY, USA aut Pelaez Linda Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, 525 East 68th Street, Box 122, 10065, New York, NY, USA aut Baergen Rebecca Division of Obstetric and Perinatal Pathology, Department of Pathology and Laboratory Medicine, Weill Medical College of Cornell University, 525 East 68th Street, Box 122, 10065, New York, NY, USA aut Carroll Sheila Division of Pediatric Cardiology, Department of Pediatrics, Weill Medical College of Cornell University, 525 East 68th Street, Box 122, 10065, New York, NY, USA aut Pediatric Cardiology Springer-Verlag 32/1(2011-01-01), 84-86 0172-0643 32:1<84 2011 32 246 https://doi.org/10.1007/s00246-010-9803-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-010-9803-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fishman Shira Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, 525 East 68th Street, Box 122, 10065, New York, NY, USA aut NATIONALLICENCE 700 1- Pelaez Linda Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, 525 East 68th Street, Box 122, 10065, New York, NY, USA aut NATIONALLICENCE 700 1- Baergen Rebecca Division of Obstetric and Perinatal Pathology, Department of Pathology and Laboratory Medicine, Weill Medical College of Cornell University, 525 East 68th Street, Box 122, 10065, New York, NY, USA aut NATIONALLICENCE 700 1- Carroll Sheila Division of Pediatric Cardiology, Department of Pediatrics, Weill Medical College of Cornell University, 525 East 68th Street, Box 122, 10065, New York, NY, USA aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/1(2011-01-01), 84-86 0172-0643 32:1<84 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer