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An expanded phenotype of maternal SSA/SSB antibody-associated fetal cardiac disease. J Matern Fetal Neonatal Med 2009 Mar;22(3):233-8

Date

03/31/2009

Pubmed ID

19330707

Pubmed Central ID

PMC2833315

DOI

10.1080/14767050802488220

Scopus ID

2-s2.0-67650491491 (requires institutional sign-in at Scopus site)   41 Citations

Abstract

OBJECTIVES: Conventional manifestations of fetal Sjogren's antibodies (SSA/SSB) associated cardiac disease include atrioventricular block (AVB), transient sinus bradycardia, endocardial fibroelastosis (EFE) and dilated cardiomyopathy. We describe other manifestations of cardiac disease.

METHODS: We describe three fetuses with unique myocardial and conduction system disease.

RESULTS: One had isolated EFE with subsequent mitral and tricuspid valve chordal avulsion, the second had sinoatrial and infrahissian conduction system disease, and in both, neonatal progression to life threatening disease occurred. The third had sinus node dysfunction and atrial flutter.

CONCLUSION: These findings expand the clinical phenotype of maternal SSA/SSB antibody associated fetal cardiac disease.

Author List

Cuneo BF, Strasburger JF, Niksch A, Ovadia M, Wakai RT

Author

Janette F. Strasburger MD Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Autoantibodies
Autoantigens
Cardiomyopathies
Female
Fetal Diseases
Heart Block
Humans
Infant, Newborn
Infant, Newborn, Diseases
Magnetocardiography
Male
Phenotype
Pregnancy
Ribonucleoproteins
Sjogren's Syndrome