Double-chamber right ventricle is a rare fetal cardiac defect that can lead to progressive intrauterine cardiac failure, hydrops, and early neonatal death.
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Severe fetal DCRV may precipitate rapid postnatal death; this case leaves open optimal delivery timing and fetal intervention strategies.
Fetal cardiac defects leading to intrauterine cardiac failure and subsequent fetal hydrops are rare. We report an unusual case of a double-chamber right ventricle leading to progressive fetal cardiac insufficiency and hydrops. The patient was first managed conservatively. Delivery by Cesarean section was performed for a pathological fetal heart-rate tracing at 28 weeks of gestation. The newborn died 4 h postpartum due to generalized cardiac insufficiency.
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Becker et al. (2004) studied this question.
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