Fetal complete atrioventricular block: diagnostic and therapeutic approach: a case report and review of the literature

Objective To present a case of congenital atrioventricular block and a complete review of the literature Materials and methods A congenital complete atrioventricular block and dilated cardiomyopathy secondary in a year old woman is Reported Prenatal management was begun with beta adrenergic agonists but the pregnancy was terminated by caesarean section in the th week due to maternal cholestasis An epicardial ventricular pacemaker was implanted to the newborn on the first day of life with excellent results A review of the literature published MedLine Lilacs and SciELO was made using terms quot fetal complete atrioventricular block quot quot congenital complete heart block quot With year from to limits Spanish and Ingl eacute s We also included in the literature review Up to Date with the term quot Neonatal Lupus quot and the review based on a book chapter Results Twenty references seven are case reports literature reviews are nine and four retrospective cohort studies two prospective and two retrospective cohort studies nbsp Conclusion Congenital AV block third degree is rare but with high perinatal mortality and morbidity early diagnosis and which requires timely treatment Studies are higher methodological quality required to support promising therapeutic options and schemes nbsp