Severe form of the hydrothorax associated with right divided atrium and Cytomegalovirus infection - Prenatal diagnosis and outcomes

Ramush Bejiqi; Ragip  Retkoceri; Hana Bejiqi; Naim Zeka; Abdurrahim Gerguri; Armend Vuçiterna; Aferdita Mustafa; Arlinda Maloku; Rinor Bejiqi

doi:10.3889/oamjms.2021.6073

Authors

Ramush Bejiqi Texas Health Science Center, San Antonio, Texas, USA; 2Medical School, University of Gjakova, Gjakova, Republic of Kosovo; 3Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo
Ragip Retkoceri Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo
Hana Bejiqi Main Center of Family Medicine, Prishtina, Republic of Kosovo
Naim Zeka Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo
Abdurrahim Gerguri Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo
Armend Vuçiterna Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo
Aferdita Mustafa Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo https://orcid.org/0000-0002-1616-8911
Arlinda Maloku Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo
Rinor Bejiqi Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo

DOI:

https://doi.org/10.3889/oamjms.2021.6073

Keywords:

Hydrothorax, Cor triatriatum dexter, Fetal echocardiography, Cytomegalovirus infection

Abstract

Abstract

Fetal hydrothorax (FH) or pleural effusion is a clinical entity, and refers to accumulation of fetal pleural fluid, which may presents a wide spectrum of severity ranging from small, harmless effusion, to life-threatening thoracic compression (1). The perinatal mortality associated with pleural effusion is at least 50 %. Cardiac and extra-cardiac abnormalities may accompany the hydrothorax and their presence also affects the prognosis (2).

Division of the right atrium, first reported in 1868, also known as cor triatriatum dexter, is extremely a rare congenitally abnormality, in which persistence of right valve of the embryonic systemic venous sinus divides the right atrium into two chambers. The embryonic valvar structures, whose significance during fetal life is to direct the richly oxygenated inferior caval venous blood across to the left atrium and thence to the aorta, normal regress in late fetal life and early childhood.

Cytomegalovirus (CMV) is a common human virus, member of herpes virus family, and the most common cause of intrauterine infection, occurring in 0.2 % to 2.2 % of life births (3,4). This report describes antenataly diagnosed a case of a divided right atrium, associated with severe form of hydrothorax and Cytomegalovirus infection.

Here we present a fetus with sever hydrothorax associated with divided right atrium and cytomegalovirus infection.

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Author Biography

Ramush Bejiqi, Texas Health Science Center, San Antonio, Texas, USA; 2Medical School, University of Gjakova, Gjakova, Republic of Kosovo; 3Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo

Ramush Bejiqi was born in 1961, in Rama Baje, Medvedja, Yugoslavia. He has graduated in medicine 1981-1986 at the Medical Facality in Nish, Serbia, where he completed Master of Scineces in Imunology and Alergology (1986 â€“ 1988). He also finished his pediatric specialisation (5 years) in Nish, Serbia (1991 â€“ 1995), as well as subspecialization in Pediatrics Cardiology (2 years) in Belgrade, Serbia (1995 â€“ 1997). He finished his PhD in area of congenital heart disease, entiteled: â€œCongenital Heart Disease in Neonates with Central Cyanosisâ€ in Tirana, Albania (2010). He was trained in transthoracic echocardiography, transesophageal echocardiography, 3D, 4D; fetal echocardiography; interventional pediatric cardiology and abdominal echosonography. He started his professional carrea in 1986-1991 at Medical Center, Leskovac, Medvedja, Serbia. From 1991 and on ward he is employed at the Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo. From March, 2010 he is a President of Pediatric Association of Republic of Kosovo. He is Member of European Association of Pediatric Cardiologist; Member of American College of Cardiology; Fellow of American College of Cardiology, New Orelans, USA; Member of Editorial Board of Medical Journal â€œMedicusâ€, Republic of Macedonia. In March 2011 he was elected as a Director of Pediatric Emergency in Prishtina; in September, 2011 he was elected as a Director of Board for developing Cardiac Surgery Center in Prishtina; and Director of 1st Pediatric School of Pediatric Association of Republic of Kosovo.

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