VP52.04: Complete resolution of non‐immune hydrops fetalis by
            in utero
            thoracoamniotic shunting

A 21-year-old G3P2011 Caucasian woman at 27 weeks’ gestation presented with fetal tachyarrhythmia between 240 and 270 beats per minute. Fetal supraventricular tachycardia, abdominal ascites, pleural effusion and pericardial effusion indicated hydrops fetalis. Management with digoxin and flecainide converted the fetus to sinus rhythm and resolved the ascites and pleural effusion within 4 days of treatment. Flecainide was discontinued at 31 weeks’ gestation due to elevated liver enzymes. Intrahepatic cholestasis was treated with ursodiol. Caesarean section was performed at 37 weeks’ gestation. Neonatal echocardiogram revealed a bicuspid aortic valve with mild regurgitation and a patent foramen ovale, and the infant showed no subsequent evidence of tachyarrhythmia or hydrops after delivery. Treatment of hydrops fetalis in the antenatal period is complex, and early diagnosis and treatment can quickly resolve supraventricular tachycardia-induced hydrops fetalis.

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Long-term neurodevelopmental outcome and brain volume after treatment for hydrops fetalis by in utero intravascular transfusion

Yearbook of Neonatal and Perinatal Medicine ◽

10.1016/s8756-5005(08)70173-2 ◽

2007 ◽

Vol 2007 ◽

pp. 300-301

Author(s):

A.A. Fanaroff

Keyword(s):

Brain Volume ◽

Neurodevelopmental Outcome ◽

In Utero ◽

Hydrops Fetalis

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In Utero Resolution of Hydrops Fetalis Following the Death of One Twin in Twin-Twin Transfusion

American Journal of Perinatology ◽

10.1055/s-2007-999457 ◽

1990 ◽

Vol 7 (02) ◽

pp. 107-109 ◽

Cited By ~ 5

Author(s):

Brian Kirshon ◽

Kenneth Moise ◽

Giancarlo Mari ◽

Suzanne Rothchild ◽

Nathan Wasserstrum

Keyword(s):

In Utero ◽

Hydrops Fetalis

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Spontaneous Resolution of Mirror Syndrome following Demise of Hydropic Twin

Case Reports in Obstetrics and Gynecology ◽

10.1155/2012/783408 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

Kate E. Oliver ◽

Kimberly W. Hickey ◽

Scott M. Petersen

Keyword(s):

Complete Resolution ◽

Spontaneous Resolution ◽

Hydrops Fetalis ◽

Fetal Hydrops ◽

Fetal Demise ◽

Intrauterine Fetal Demise ◽

Fetal Complications

Maternal mirror syndrome is a rare consequence of fetal hydrops. By convention, delivery is recommended in pregnancies complicated by mirror syndrome due to grave fetal prognosis. We describe a case of a dichorionic, diamniotic twin gestation complicated by hydrops fetalis of twin B. The patient declined selective feticide. Two weeks later, intrauterine fetal demise of fetus B was diagnosed and complete resolution of mirror syndrome followed. Unaddressed, mirror syndrome can lead to significant maternal and fetal complications. This case illustrates resolution of mirror syndrome following spontaneous intrauterine demise of the hydropic fetus.

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