{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:23:23Z","timestamp":1740176603404,"version":"3.37.3"},"reference-count":36,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: reportar el caso de una gestante con s\u00edndrome en espejo asociada a miocardiopat\u00eda no compactada, tanto en la madre como el feto, en los que el tratamiento m\u00e9dico antenatal en la madre llev\u00f3 a un resultado materno perinatal favorable.\r\nPresentaci\u00f3n del caso: se describe el caso de una primigestante de 16 a\u00f1os, con 33 semanas de embarazo, remitida desde una instituci\u00f3n de primer nivel de atenci\u00f3n a una instituci\u00f3n privada de cuarto nivel en la ciudad de Medell\u00edn, Colombia, por presentar feto con hidropes\u00eda en ultrasonido obst\u00e9trico de control. Durante la hospitalizaci\u00f3n, la paciente present\u00f3 signos cl\u00ednicos y ecocardiogr\u00e1ficos de falla cardiaca (disnea, edema e hipoxemia), a la vez que se confirm\u00f3 el diagn\u00f3stico de Hydrops fetalis (s\u00edndrome en espejo). Se instaur\u00f3 tratamiento diur\u00e9tico con furosemida en la madre, logrando mejor\u00eda del cuadro materno y del edema fetal. En el puerperio mediato hospitalario se confirmaron la presencia de miocardiopat\u00eda no compactada en la resonancia magn\u00e9tica nuclear cardiaca, tanto de la madre como del reci\u00e9n nacido. Ambos egresaron en adecuadas condiciones y fueron vinculados al programa de seguimiento cardiovascular: falla cardiaca y de cardiopat\u00eda cong\u00e9nitas, respectivamente.\r\nConclusi\u00f3n: se presenta un caso de s\u00edndrome en espejo asociado a miocardiopat\u00eda no compactada materna y fetal. Es limitado el n\u00famero de reportes de s\u00edndrome en espejo por anomal\u00edas cardiacas (maternas y fetales) y pobre la descripci\u00f3n de los tratamientos realizados que surgen como temas a investigar. Ser\u00eda importante considerar el diagn\u00f3stico de MNC en fetos con hidropes\u00eda no asociados a isoinmunizaci\u00f3n y con disfunci\u00f3n cardiaca, as\u00ed como su atenci\u00f3n por equipos multidisciplinarios.<\/jats:p>","DOI":"10.18597\/rcog.3659","type":"journal-article","created":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T20:48:46Z","timestamp":1634071726000},"page":"298-306","source":"Crossref","is-referenced-by-count":1,"title":["S\u00edndrome en espejo con miocardiopat\u00eda no compactada en la madre y el feto. Reporte de caso"],"prefix":"10.18597","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4622-327X","authenticated-orcid":false,"given":"Jes\u00fas Arnulfo","family":"Vel\u00e1squez-Penagos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0645-3305","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"Fl\u00f3rez-R\u00edos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5156-7985","authenticated-orcid":false,"given":"Edison","family":"Mu\u00f1oz-Ortiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0757-0033","authenticated-orcid":false,"given":"Jairo Alfonso","family":"G\u00e1ndara-Ricardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1531-3152","authenticated-orcid":false,"given":"Juan Pablo","family":"Fl\u00f3rez-Mu\u00f1oz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6653-7095","authenticated-orcid":false,"given":"Erika","family":"Holgu\u00edn-Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"87618","unstructured":"Ballantyne JW. 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