Çocuk Sağlığı ve Hastalıkları Dergisi
2010 , Vol 53 , Num 3
İzole konjenital tam kalp bloğu olan neonatal lupus sendromlu iki prematüre bebek
Başkent Üniversitesi Tıp Fakültesi 1Pediatri Uzmanı, 2Pediatri Doçenti
Isolated congenital heart block without intracardiac anatomic malformations
is a rare cardiac disorder often detected at or before birth. This condition
is frequently associated with neonatal lupus syndrome (NLS), a model of
passively acquired autoimmunity due to the transplacental transfer of maternal
anti La/SSB and/or anti Ro/SSA antibodies through the fetal circulation.
Neonatal lupus accounts for 90-95% of cases of heart block occurring in
utero or in the neonatal period. Isolated congenital heart blocks are usually
complete and require a pacemaker in about 66% of cases. Here, we report
two preterm infants with neonatal lupus syndrome who presented with
isolated complete congenital heart block and were successfully treated with
pacemaker implantation.
Anahtar Kelimeler :
Neonatal lupus sendromu, konjenital kalp bloğu, anti La/SSBanti
Ro/SSA antikorları, kalp pili.