C. Achtari et P. Hohlfeld, Cardiotoxic transplacental effect of idarubicin administered during the second trimester of pregnancy, AM J OBST G, 183(2), 2000, pp. 511-512
Polychemotherapy including idarubicin was administered during the second tr
imester to treat acute lymphoblastic leukemia. The infant delivered at 28 w
eeks' gestation had acute cardiac failure attributed to the cardiotoxic eff
ect of idarubicin. Cardiotoxicity may be caused by idarubicin's biophysical
properties that facilitate its transplacental passage. Idarubicin should b
e used with extreme caution during pregnancy.