Hidropesía fetal

ResumenObjetivoRevisión de casos de hidropesía fetal en nuestro hospital en el período 2000-2008.Material y métodosHemos revisado todos los casos de hidropesía fetal diagnosticados en nuestro centro en el período 2000-2008, realizando una revisión exhaustiva de cada caso hasta su resolución.ResultadosEl 18% se debieron a cardiopatías. Un 25% se asoció a malformaciones fetales y síndromes. En otro 18% estaba asociado a una cromosopatía. El 12,5% de los casos fueron de causa inmunológica. En un 25% de los casos revisados no hemos hallado ninguna causa materna ni fetal causante del cuadro de hidropesía.ConclusionesEs una situación de descompensación fetal grave, en que el diagnóstico etiológico es esencial para determinar los casos susceptibles de terapia fetal, establecer el pronóstico y disminuir el riesgo de recurrencia.

ObjectivesReview of the cases of hydrops foetalis followed up in our hospital from 2000-2008.Material and methodsWe have reviewed all cases of hydrops foetalis which were diagnosed in our centre from 2000-2008, with an exhaustive review of every case until its resolution.ResultsHydrops foetalis was the result of a heart disease in 18% of cases; 25% were associated to foetal malformations and syndromes; another 18% were associated to aneuploidies, and 12.5% of cases were due to an immunological cause. No foetal or maternal cause was found in 25% of reviewed cases.ConclusionsHydrops foetalis is a condition caused by severe foetal decompensation, in which an etiologic diagnose is essential to select those cases for foetal therapy, to determine prognosis and to reduce the risk of recurrence. Despite the progresses in therapy, foetal mortality is still very high.