Mirror syndrome associated with fetal cardiomyopathy

• Published in: Archive of clinical cases Vol. 10; no. 4; pp. 191 - 195
• Main Authors: Štritof, Petra Glad, Zanze, Lucija, Zekan, Paulo, Horvat, Gordana, Blagaic, Vladimir
• Format: Journal Article
• Language: English
• Published: Romania Archive of Clinical Cases 01.12.2023; UMF “Gr. T. Popa” Iasi Publishing House
• Subjects: Cardiomyopathy; Case Report; Heart diseases; Hydrops fetalis; Medical colleges; Obstetrics; Pregnancy; Pregnant women; Croatia; prenatal diagnosis; nonimmune fetal hydrops; Mirror syndrome
• ISSN: 2360-6975; 2360-6975
• DOI: 10.22551/2023.41.1004.10273

Mirror syndrome is a rare condition of generalized maternal oedema caused by fetal hydrops. A 37-year-old patient was admitted to our hospital because of suspected mirror syndrome caused by fetal cardiomyopathy. At 26 week of gestation patient developed bilateral pulmonary oedema as her condition rapidly deteriorated. Consequently, preterm labor was induced, percutaneous evacuation of fetal ascites was performed, and the patient finally vaginally delivered stillborn fetus. Although the initial postpartum period was severely complicated by hemorrhage, the condition of the patient significantly improved later, and she was discharged seven days after delivery. We believe this case is worth presenting due to its rarity and significant perinatal and obstetric challenges in treatment of those patients. Furthermore, preimplantation genetic testing could be performed to prevent at least some of the cases.