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Fetal Complete Heart Block : An Expectant Management

BOONCHAI UERPAIROJKIT, M.D.*, DHIRAPHONGS CHAROENVIDHYA, M.D.*, PAIROJ CHOTTIVITTAYATANAKORN, M.D.**, YUEN TANNIRANDORN, M.D.*, WICHAI BENJACHOLLAMAS, M.D.***, SUKHIT PHAOSAVASDI, M.D.*

Affiliation : * Department of Obstetrics and Gynecology, ** Department of Pediatrics, *** Department of Surgery, Faculty of Medicine, Chulalongkom University, Bangkok 10330, Thailand.

Abstract Fetal complete heart block is a rare cardiac arrhythmia occurring in prenatal life. The diag- nosis usually requires a multimodality approach of imaging technology especially M-mode and Doppler ultrasound. The management guideline is not conclusive. We presented 2 cases of fetal complete heart block diagnosed prenatally. The fetuses were closely monitored conservatively and delivered at term. Permanent cardiac pacemakers were performed neonatally with satisfactory outcomes.

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