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IN UTERO CONGESTIVE HEART FAILURE DUE TO MATERNAL INDOMETHACIN TREATMENT FOR POLYHYDRAMNIOS AND PREMATURE LABOUR IN A FETUS WITH ANTENATAL CLOSURE OF THE FORAMEN OVALE

✍ Scribed by REUWEN ACHIRON; SHLOMO LIPITZ; DEBORA KIDRON; MICHAEL BERANT; JULIUS HEGESH; ZEEV ROTSTEIN


Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
946 KB
Volume
16
Category
Article
ISSN
0197-3851

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✦ Synopsis


A case of severe fetal congestive heart failure due to occlusion of the ductus arteriosus in a mother treated with indomethacin for polyhydramnios and premature contractions is described. Closure of the fetal foramen ovale that escaped detection by prenatal echocardiography was later demonstrated at neonatal autopsy. This case suggests that indomethacin treatment in a ductus-dependent fetus may be hazardous. Therefore, careful surveillance of the fetus exposed to indomethacin in utero is warranted.