FETAL ENDOCARDITIS IN LEFT ATRIAL ISOMERISM - A CASE-REPORT

We report a case of fetal endocarditis coexisting with a congenital he art defect: a common atrium (left atrial isomerism) with complete cong enital heart block. The case was studied by echocardiography from 32 t o 39 weeks of gestation. A postmortem examination was carried out a fe w hours after Cesarean section. The autopsy, histopathological and imm unohistochemical findings revealed endocarditis. We think that abnorma l turbulent systolic and diastolic flow of the semilunar valve, seen i n fetal Doppler echocardiography, may be a sign of fetal endocarditis even though clear evidence of vegetations were not seen.