Echocardiography findings in a case with Ballantyne syndrome

Marked fluid retention occurs in Ballantyne syndrome, but few reports are available on changes in cardiac morphology in this syndrome. A woman with generalized edema, dyspnea, fetal hydrops (skin edema and ascites), thickened placenta, and elevated plasma B‐type natriuretic peptide level (344 pg/mL)...

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Published inThe journal of obstetrics and gynaecology research Vol. 43; no. 2; pp. 387 - 391
Main Authors Suzuki, Yutaro, Yamamura, Mie, Kikuchi, Keisuke, Hattori, Rifumi, Umazume, Takeshi, Minakami, Hisanori
Format Journal Article
LanguageEnglish
Published Australia Wiley Subscription Services, Inc 01.02.2017
Subjects
Adult
Ascites
Blood pressure
Brain natriuretic peptide
Cesarean section
Cytomegalovirus
Dyspnea
Echocardiography
Echocardiography - methods
Edema
Edema - diagnostic imaging
Female
Fetal Death
Fetuses
Heart diseases
heart failure
Heart Failure - diagnostic imaging
Herpesviridae
Humans
Hydrops Fetalis - diagnostic imaging
Placenta
Pregnancy
Pregnancy Complications, Cardiovascular - diagnostic imaging
Pulmonary arteries
Pulmonary artery
renin‐angiotensin‐aldosterone system
Respiration
Skin
soluble fms‐like tyrosine kinase‐1
Syndrome
triple edema syndrome
Ventricle
heart failure
renin-angiotensin-aldosterone system
triple edema syndrome
soluble fms-like tyrosine kinase-1
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Summary:Marked fluid retention occurs in Ballantyne syndrome, but few reports are available on changes in cardiac morphology in this syndrome. A woman with generalized edema, dyspnea, fetal hydrops (skin edema and ascites), thickened placenta, and elevated plasma B‐type natriuretic peptide level (344 pg/mL) was admitted to our hospital at gestational week (GW) 20+3. Blood pressure remained within the normal range. However, acute increases in left atrial volume index, pulmonary artery systolic pressure, and hyperdynamic left ventricular function (as evidenced by increased left ventricular ejection fraction to 74% with cardiac index of 5.1 L/min/m2) occurred preceding fetal death at GW 21+4 in the presence of increased inferior vena cava diameter (23 mm) and relatively low systemic vascular resistance of 752 dyn·s/cm5. These findings suggested life‐threatening heart failure and required cesarean delivery at GW 21+5 resulting in complete recovery. The placenta suggested cytomegalovirus infection.
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ISSN:1341-8076
1447-0756
DOI:10.1111/jog.13209