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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 391085, 3 pages
http://dx.doi.org/10.1155/2013/391085
Case Report

Importance of Close Follow-Up in the Fetus with Premature Atrial Contractions Accompanied by Atrial Septal Aneurysm: A Case Report

1Department of Pediatric Cardiology, Izmir Dr. Behcet Uz Children’s Hospital, 35210 Izmir, Turkey
2Department of Pediatric Cardiology, Gulhane Medical Academy, Ankara, Turkey

Received 29 October 2013; Accepted 26 November 2013

Academic Editors: K. Dafopoulos and M. G. Porpora

Copyright © 2013 Yilmaz Yozgat et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Rhythms that derive from parts of atria other than the sinus node are called premature atrial contractions (PACs). Vast majority of fetal PACs are idiopathic. Fetal PACs usually have a good prognosis and disappear spontaneously during pregnancy or after delivery. Development of fetal tachycardia or fetal bradycardia is rarely reported during follow-up of fetuses diagnosed with PACs. To the best of our knowledge, coexistence of tachycardia and bradycardia leading to hemodynamic impairment has not yet been reported. We present a fetus diagnosed with PACs and atrial septal aneurysm (ASA) on the 23rd week of gestation proceeding to fetal bradycardia and fetal tachycardia and consequently hemodynamic impairment. We suggest closer follow-up of fetuses with PACs accompanied by ASA.