FETAL MYOCARDIAL CALCIFICATION ASSOCIATED WITH MATERNAL COCAINE USE

Two cases of fetal myocardial calcification confirmed postnatally are reported. In contrast to other reports, both infants survived with res olution of calcification by 6 and 12 months. Diagnostic investigations failed to confirm the presence of congenital infection. Both pregnanc ies were complicated by early cocaine use leading to the speculation t hat myocardial necrosis with subsequent calcification related to the t oxic and/or vascular effects of cocaine was responsible. The finding o f fetal myocardial calcification on prenatal ultrasound should prompt a search for causes, which may include cocaine exposure.