Reversible Atrioventricular Block and Junctional Ectopic Tachycardia in Coxsackievirus B3-Induced Fetal-Neonatal Myocarditis without Left Ventricular Dysfunction

We present a case of fetal-neonatal acute myocarditis caused by coxsackievirus B3 infection in a term neonate. The condition manifested as high-grade atrioventricular (A-V) block prenatally. After delivery, various arrhythmias such as high-grade A-V block, ventricular tachycardia, and junctional ect...

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Main Authors: Hironori Takahashi (Author), Keiko Tsukamoto (Author), Shigehiro Takahashi (Author), Tomoo Nakamura (Author), Yushi Ito (Author), Masahide Kaneko (Author), Haruhiko Sago (Author)
Format: Book
Published: Thieme Medical Publishers, Inc., 2011-09-01T00:00:00Z.
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Summary:We present a case of fetal-neonatal acute myocarditis caused by coxsackievirus B3 infection in a term neonate. The condition manifested as high-grade atrioventricular (A-V) block prenatally. After delivery, various arrhythmias such as high-grade A-V block, ventricular tachycardia, and junctional ectopic tachycardia appeared, and we had difficulty managing these arrhythmias. This is the first report describing a case of acute myocarditis due to coxsackievirus infection presenting with fetal A-V block. This case is also unique in that it is extremely rare that various arrhythmias occur serially in one patient without left ventricular dysfunction.
Item Description:10.1055/s-0031-1277102
2157-6998
2157-7005