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논문 기본 정보

자료유형
학술저널
저자정보
고지혜 (Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine) 신명신 (Moon’s Obstetrics and Gynecology Clinic) 한별 (Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine) 이진하 (서울아산병원) 원혜성 (울산대학교)
저널정보
대한주산의학회 Perinatology Perinatology 제35권 제2호
발행연도
2024.6
수록면
76 - 80 (5page)

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We present a case of fetal cardiac hemangioma that caused fetal arrhythmia and reduced ventricular contractibility. At 31 weeks and 1 day of gestation, a 29-year-old primiparous mother was referred to our institution due to an abnormal ultrasound finding, suspicious of a fetal cardiac mass occupying the right atrium (RA). The blood flow from the RA to the right ventricle (RV) was decreased. Additional evaluation through FetalHQ (GE Healthcare Korea) revealed diminished RV contractility. At gestational age 35 weeks and 1 day, the fetus had developed paroxysmal supraventricular tachycardia. We decided to perform an emergency cesarean section to prevent further impairment in fetal cardiac circulation. Postnatal echocardiography showed a pedunculated mass on the free wall of the RA, and the cardiac movements were affected with atrial flutter. Immediate mass excision was performed. Pathological analysis confirmed that the mass was a juvenile capillary hemangioma. The newborn stayed admitted for postoperative care and recovered healthy without any signs of cardiac arrhythmia.

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