Mirror syndrome associated with fetal cardiomyopathy.
Petra Glad ŠtritofLucija ZanzePaulo ZekanGordana HorvatVladimir BlagaicPublished in: Archive of clinical cases (2023)
Mirror syndrome is a rare condition of generalized maternal oedema caused by fetal hydrops. A 37-year-old patient was admitted to our hospital because of suspected mirror syndrome caused by fetal cardiomyopathy. At 26 th week of gestation patient developed bilateral pulmonary oedema as her condition rapidly deteriorated. Consequently, preterm labor was induced, percutaneous evacuation of fetal ascites was performed, and the patient finally vaginally delivered stillborn fetus. Although the initial postpartum period was severely complicated by hemorrhage, the condition of the patient significantly improved later, and she was discharged seven days after delivery. We believe this case is worth presenting due to its rarity and significant perinatal and obstetric challenges in treatment of those patients. Furthermore, preimplantation genetic testing could be performed to prevent at least some of the cases.
Keyphrases
- case report
- end stage renal disease
- heart failure
- pregnant women
- healthcare
- newly diagnosed
- minimally invasive
- chronic kidney disease
- randomized controlled trial
- clinical trial
- emergency department
- ejection fraction
- pulmonary hypertension
- preterm infants
- pulmonary embolism
- gestational age
- body mass index
- peritoneal dialysis
- patient reported outcomes
- low birth weight
- birth weight
- weight loss