case_images: PMC9280102_01
case_images: M-mode measurement of R-R interval showing 2:1 ventricular to atrial rate with a ventricular rate of 229 bpm (A), and an atrial rate of 108 bpm (B)
case_images: APC-15-64-g001.jpg
case_images: PMC9280102_01_APC-15-64-g001.jpg
case_images: F1
case_images: At 32 weeks and 2 days' gestation, fetal echocardiogram showed a heart rate variability between 40-260 bpm with intermittent periods of ventricular tachycardia and premature ventricular contractions (PVCs) [Figures 1 and 2].
case_images: Fetal echocardiogram four-chamber view with pulse Doppler evaluation of tricuspid valve inflow showing e-wave, a-wave, and premature ventricular contraction
case_images: APC-15-64-g002.jpg
case_images: PMC9280102_01_APC-15-64-g002.jpg
case_images: F2
case_images: At 32 weeks and 2 days' gestation, fetal echocardiogram showed a heart rate variability between 40-260 bpm with intermittent periods of ventricular tachycardia and premature ventricular contractions (PVCs) [Figures 1 and 2].
case_images: Electrocardiogram following surgical placement of dual-chamber pacemaker showing atrial-ventricular dual paced rhythm at a rate of 120 bpm
case_images: APC-15-64-g003.jpg
case_images: PMC9280102_01_APC-15-64-g003.jpg
case_images: F3
case_images: A-V block. A decision was then made to take the patient to the operating room for placement of dual-chamber epicardial pacemaker and bilateral sympathectomy, with resolution of arrhythmia following the procedure [Figure 3].