A rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancy
Fetal cardiac hypertrophy (CH) in pregnant women with diabetes is believed to be a benign condition. We encountered a rare case of fetal CH in a pregnant woman with type 1 diabetes, which developed into severe fetal circulatory insufficiency and acidemia. Fetal echocardiography at 37-week gestation...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Journal of Medical Ultrasound |
| Subjects: | |
| Online Access: | http://www.jmuonline.org/article.asp?issn=0929-6441;year=2022;volume=30;issue=2;spage=146;epage=148;aulast=Toya |
| _version_ | 1811294638800109568 |
|---|---|
| author | Masato Toya Atsuhiko Sakai Nobuhiro Hidaka Kato Kiyoko |
| author_facet | Masato Toya Atsuhiko Sakai Nobuhiro Hidaka Kato Kiyoko |
| author_sort | Masato Toya |
| collection | DOAJ |
| description | Fetal cardiac hypertrophy (CH) in pregnant women with diabetes is believed to be a benign condition. We encountered a rare case of fetal CH in a pregnant woman with type 1 diabetes, which developed into severe fetal circulatory insufficiency and acidemia. Fetal echocardiography at 37-week gestation showed cardiomegaly with a ventricular hypertrophy. Cardiac function was impaired, and pulsed Doppler findings indicated circulatory failure. The patient was diagnosed with fetal compromise due to fetal CH, and a large for gestational age boy was delivered by an urgent cesarean section. Despite myocardial hyperplasia and left ventricular outflow tract stenosis, the neonate was hemodynamically stabilized by fluid resuscitation alone. Although the neonatal course was favorable, we speculated that the neonate was on the verge of death because he was already acidemic at birth. Therefore, comprehensive fetal echocardiography should be performed in pregnant women with diabetes, and clinicians should not miss the optimal timing of delivery. |
| first_indexed | 2024-04-13T05:20:25Z |
| format | Article |
| id | doaj.art-9bfbca2b8a9e45bda3d35c1477db34af |
| institution | Directory Open Access Journal |
| issn | 0929-6441 2212-1552 |
| language | English |
| last_indexed | 2024-04-13T05:20:25Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Ultrasound |
| spelling | doaj.art-9bfbca2b8a9e45bda3d35c1477db34af2022-12-22T03:00:46ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412212-15522022-01-0130214614810.4103/JMU.JMU_28_21A rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancyMasato ToyaAtsuhiko SakaiNobuhiro HidakaKato KiyokoFetal cardiac hypertrophy (CH) in pregnant women with diabetes is believed to be a benign condition. We encountered a rare case of fetal CH in a pregnant woman with type 1 diabetes, which developed into severe fetal circulatory insufficiency and acidemia. Fetal echocardiography at 37-week gestation showed cardiomegaly with a ventricular hypertrophy. Cardiac function was impaired, and pulsed Doppler findings indicated circulatory failure. The patient was diagnosed with fetal compromise due to fetal CH, and a large for gestational age boy was delivered by an urgent cesarean section. Despite myocardial hyperplasia and left ventricular outflow tract stenosis, the neonate was hemodynamically stabilized by fluid resuscitation alone. Although the neonatal course was favorable, we speculated that the neonate was on the verge of death because he was already acidemic at birth. Therefore, comprehensive fetal echocardiography should be performed in pregnant women with diabetes, and clinicians should not miss the optimal timing of delivery.http://www.jmuonline.org/article.asp?issn=0929-6441;year=2022;volume=30;issue=2;spage=146;epage=148;aulast=Toyacirculatory insufficiencyfetal cardiac hypertrophymaternal diabetes |
| spellingShingle | Masato Toya Atsuhiko Sakai Nobuhiro Hidaka Kato Kiyoko A rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancy Journal of Medical Ultrasound circulatory insufficiency fetal cardiac hypertrophy maternal diabetes |
| title | A rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancy |
| title_full | A rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancy |
| title_fullStr | A rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancy |
| title_full_unstemmed | A rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancy |
| title_short | A rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancy |
| title_sort | rare case of fetal cardiac hypertrophy developing into acute circulatory insufficiency and fetal compromise in type 1 diabetic pregnancy |
| topic | circulatory insufficiency fetal cardiac hypertrophy maternal diabetes |
| url | http://www.jmuonline.org/article.asp?issn=0929-6441;year=2022;volume=30;issue=2;spage=146;epage=148;aulast=Toya |
| work_keys_str_mv | AT masatotoya ararecaseoffetalcardiachypertrophydevelopingintoacutecirculatoryinsufficiencyandfetalcompromiseintype1diabeticpregnancy AT atsuhikosakai ararecaseoffetalcardiachypertrophydevelopingintoacutecirculatoryinsufficiencyandfetalcompromiseintype1diabeticpregnancy AT nobuhirohidaka ararecaseoffetalcardiachypertrophydevelopingintoacutecirculatoryinsufficiencyandfetalcompromiseintype1diabeticpregnancy AT katokiyoko ararecaseoffetalcardiachypertrophydevelopingintoacutecirculatoryinsufficiencyandfetalcompromiseintype1diabeticpregnancy AT masatotoya rarecaseoffetalcardiachypertrophydevelopingintoacutecirculatoryinsufficiencyandfetalcompromiseintype1diabeticpregnancy AT atsuhikosakai rarecaseoffetalcardiachypertrophydevelopingintoacutecirculatoryinsufficiencyandfetalcompromiseintype1diabeticpregnancy AT nobuhirohidaka rarecaseoffetalcardiachypertrophydevelopingintoacutecirculatoryinsufficiencyandfetalcompromiseintype1diabeticpregnancy AT katokiyoko rarecaseoffetalcardiachypertrophydevelopingintoacutecirculatoryinsufficiencyandfetalcompromiseintype1diabeticpregnancy |