Fetal treatment of congenital heart block ascribed to anti-SSA antibody: Case reports with observation of cardiohemodynamics and review of the literature

American Journal of Reproductive Immunology

Volumn 42, Issue 4, 1999, Pages 226-232

  Yamada, Hideto ^a   Kato, Emi H ^a   Ebina, Yasuhiko ^a   Moriwaki, Masashi ^a   Yamamoto, Ritsu ^a   Furuta, Itsuko ^a   Fujimoto, Seiichiro ^a  

^a HOKKAIDO UNIVERSITY   (Japan)

Author keywords

A V block; Anti SS A(B) antibody; Hydrops fetalis; Pregnancy; Systemic lupus erythematosus

Indexed keywords

AUTOANTIBODY; CORTICOSTEROID; DEXAMETHASONE; MATERNAL ANTIBODY; PREDNISOLONE;

ADULT; ARTICLE; CASE REPORT; CONGENITAL HEART BLOCK; CORTICOSTEROID THERAPY; ECHOCARDIOGRAPHY; FEMALE; FETUS; HEART FUNCTION TEST; HEART HEMODYNAMICS; HEART RATE; HUMAN; INTRAMUSCULAR DRUG ADMINISTRATION; ORAL DRUG ADMINISTRATION; PRENATAL CARE; PRIORITY JOURNAL;

EID: 0032732871     PISSN: 10467408     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1600-0897.1999.tb00095.x     Document Type: Article

References (30)

1. Buyon JP, Waltuck J, Kleinman CS, Copel JA: In utero identification and therapy of congenital heart block. Lupus 1995; 4:116-121.
2. Buyon JP, Swersky SH, Fox HE, Bierman FZ, Winchester RJ: Intrauterine therapy for presumptive fetal myocarditis with acquired heart block due to systemic lupus erythematosus. Experience in a mother with a predominance of SS-B (La) antibodies. Arthritis Rheum 1987; 30:44-49.
3. Herreman G, Galezowski N: Maternal connective tissue disease and congenital heart block (letter). N Engl J Med 1985; 312:1329.
4. Taylor PV, Scott JS, Gerhs LM, Path FRC, Esscher E, Scott O: Maternal antibodies against fetal cardiac antigens in congenital complete heart block. N Engl J Med 1986; 315:667-672.
5. Boutjdir M, Chen L, Zhang ZH, Tseng CE, DiDonato F, Rashbaum W, Morris A, el-Sherif N, Buyon JP: Arrhythmogenicity of IgG and anti-52kD SSA Ro affinity purified antibodies from mothers of children with congenital heart block. Circ Res 1997; 80:354-362.
6. Buyon JP, Hiebert R, Chin D, Copel J, Craft J, Friedman D, Lee L, Provost T, Reichlin M, Rider L, Rupel A, Weston W, Skovron ML: Congenital heart block: mortality, morbidity and recurrence rates obtained from a national neonatal lupus registry (abstract). Arthritis Rheum 1996; 39 (suppl):S308.
7. Buyon JP: Autoantibodies reactive with Ro(SSA) and La(SSB) and pregnancy. J Rhematol 1997; 24 (suppl):12-16.
8. Carreira PE, Gutierrez-Larraya F, Gomez-Reino JJ: Successful intrauterine therapy with dexamethasone for fetal myocarditis and heart block in a woman with systemic lupus erythematosus. J Rheumatol 1993; 20:1204-1207.
9. Copel JA, Buyon JP, Kleinman CS: Successful in utero therapy of fetal heart block. Am J Obstet Gynecol 1995; 173:1384-1390.
10. Richards DS, Wagman AJ, Cabaniss ML: Ascites not due to congestive heart failure in a fetus with lupus-induced heart block. Obstet Gynecol 1990; 76:957-959.
11. Ishimaru S, Izaki S, Kitamura K, Morita Y. Neonatal lupus erythematosus: dissolution of atrioventricular block after administration of corticosteroid to the pregnant mother. Dermatology 1994; 189 (suppl):92-94.
12. Bierman FZ, Baxi L, Jaffe I, Driscoll J: Fetal hydrops and congenital complete heart block: response to maternal steroid therapy. J Pediatr 1988; 112:646-648.
13. Watson WJ, Katz VL: Steroid therapy for hydrops associated with antibody-mediated congenital heart block. Am J Obstet Gynecol 1991; 165:553-554.
14. Kanzaki T, Chiba Y: Evaluation of the preload condition of the fetus by inferior vena caval blood flow pattern. Fetal Diagn Ther 1990; 5:168-174.
15. Agarwala B, Sheikh Z, Cibils LA: Congenital complete heart block. J Natl Med Assoc 1996; 88:725-729.
16. McCue CM, Mantakas ME, Tingelstad JB, Ruddy S: Congenital heart block in newborns of mothers with connective tissue disease. Circulation 1977; 56:82-90.
17. Schmidt KG, Ulmer HE, Silverman NH, Kleinman CS, Copel JA: Perinatal outcome of fetal complete atrioventricular block: a multicenter experience. J Am Coll Cardiol 1991; 17:1360-1366.
18. Geggel RL, Tucker L, Szer I: Postnatal progression from second-to third-degree heart block in neonatal lupus syndrome. J Pediatr 1988; 113:1049-1052.
19. Veille JC, Covitz W: Fetal cardiovascular hemodynamics in the presence of complete atrioventricular block. Am J Obstet Gynecol 1994; 170:1258-1262.
20. Taylor-Albert E, Reichlin M, Toews WH, Overholt ED, Lee LA: Delayed dilated cardiomyopathy as a manifestation of neonatal lupus: case reports, autoantibody analysis, and management. Pediatrics 1997; 99:733-735.
21. Ferrazzini G, Fasnacht M, Arbenz U, Seger R, Biedermann R, Simma B, Uehlinger J, Dangel P, Fanconi S: Neonatal lupus erythematosus with congenital heart block and severe heart failure due to myocarditis and endocarditis of the mitral valve. Intensive Care Med 1996; 22:464-466.
22. Rabinerson D, Gruber A, Kaplan B, Lurie S, Peled Y, Neri A: Isolated persistent fetal bradycardia in complete A-V block: a conservative approach is appropriate. A case report and a review of literature. Am J Perinatol 1997; 14:317-320.
23. Deloof E, Devlieger H, Van Hoestenberghe R, Van den berghe K, Daenen W, Gewillig M: Management with a staged approach of the premature hydropic fetus due to complete congenital heart block. Eur J Pediatr 1997; 156:521-523.
24. Groves AMM, Allan LD, Rosenthal E: Therapeutic trial of sympathomimetics in three cases of complete heart block in the fetus. Circulation 1995; 92:3394-3396.
25. Martin TC, Arias F, Olander DS, Hoffman RJ, Marbarger JP, Maurer MM: Successful management of congenital atrioventricular block associated with hydrops fetalis. J Pediatr 1988; 112:984-986.
26. Harris JP, Alexson CG, Manning JA, Thompson HO: Medical therapy for the hydropic fetus with congenital complete atrioventricular block. Am J Perinatol 1993; 10:217-219.
27. Anandakumar C, Biswas A, Chew SSL, Chia D, Wong YC, Ratnam SS: Direct fetal therapy for hydrops secondary to congenital atrioventricular heart block. Obstet Gynecol 1996; 87:835-837.
28. Walkinshaw SA, Welch CR, McCormack J, Walsh K: In utero pacing for fetal congenital heart block. Fetal Diagn Ther 1994; 9:183-185.
29. Carpenter RJ, Strasburger JF, Garson A, Smith RT, Deter RL, Engelhardt HT: Fetal ventricular pacing for hydrops secondary to complete atrioventricular block. J Am Coll Cardiol 1986; 8:1434-1436.
30. Barclay CS, French MAH, Ross LD, Sokol RJ: Successful pregnancy following steroid therapy and plasma exchange in a woman with anti-Ro(SS-A) antibodies. Case report. Br J Obstet Gynaecol 1987; 94:369-371.