Abstract
been obtained and direct intrafunicular intravenous combined dexamethasone + furosemide + digoxin therapy was administered to the fetus by cordocentesis and follow-up US revealed rapid improvement of NIHF for one week. Then, due to increased amount of fetal ascites, pericardial effusion, and maternal polyhydramnios the intrafunicular procedure was repeated within 7 days together with the drainage of the fetal ascites and fetal lung maturity test. The fetus was delivered for progressive NIHF within 24 hours by elective cesarean section. Gestational age at birth, birth weight, and 5-minute Apgar score were 29 weeks, 2300 g, and 5, respectively. The infant was discharged from the NICU at postpartum day 68 with the diagnosis of cardiomyopathia and is waiting for heart transplantation.
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