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Cardiac morbidity in twin-twin transfusion syndrome?
-
Yolanda Martins
and
Isaac Blickstein
Published/Copyright:
January 10, 2012
Abstract
Twin-to-twin transfusion syndrome (TTTS) affects about 10% of monochorionic pregnancies and develops when uncompensated unidirectional blood flow from one twin (‘donor’) to the other (‘recipient’) causes circulatory imbalance. The cardiac effect of the underlying hypervolemia or endocrine dysregulation, or both, manifests in the recipient as echocardiographic findings of the syndrome-related cardiomyopathy. The Quintero staging system for TTTS has recently been questioned, because more refined measurement of cardiac function may improve evaluation of disease severity and prediction of outcome. Much has been done to increase survival and diminish the cardiac morbidity associated with TTTS. The purpose of this paper was to review the literature on cardiac morbidity associated this syndrome.
Keywords: Fetal surgery; fetofetal transfusion; heart defect; monozygotic twin; prenatal ultrasonography
Received: 2011-8-19
Revised: 2011-11-16
Accepted: 2011-12-9
Published Online: 2012-01-10
Published in Print: 2012-02-01
©2012 by Walter de Gruyter Berlin Boston
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Keywords for this article
Fetal surgery;
fetofetal transfusion;
heart defect;
monozygotic twin;
prenatal ultrasonography
Articles in the same Issue
- Review Article
- Cardiac morbidity in twin-twin transfusion syndrome?
- Original Articles – Obstetrics
- Risk factors for postpartum hypertension in women with twin pregnancies
- Serum levels of the adipokine chemerin in preeclampsia
- Expression changes of sex hormone binding globulin in GDM placental tissues
- Evaluation of serum boron levels and lipid profile in pregnancies with or without gestational diabetes
- Racial disparities in maternal hemoglobin concentrations and pregnancy outcomes
- Prediction of imminent preterm delivery in women with preterm premature rupture of membranes
- Endocervical immune mediator production following successful rescue or ultrasound indicated cerclage placement
- Co-ordinate expression of Th1/Th2 phenotypes in maternal and fetal blood: evidence for a transplacental nexus
- Original Articles – Fetus
- How does the duration of active pushing in labor affect neonatal outcomes?
- Quantification of the subcutaneous fat layer with MRI in fetuses of healthy mothers with no underlying metabolic disease vs. fetuses of diabetic and obese mothers
- Original Article – Newborn
- Immediate clinical outcomes in preterm neonates receiving antenatal magnesium for neuroprotection
- Developmental delay in hypoxia-induced HO-1 expression predisposes to gut injury
- Short communication
- Correlation of Cyr61 and CTGF in placentas from the late pre-eclamptic pregnancy
- Letters to the Editor
- Cross-species transfer of group B streptococcus via ingestion?
- WAPM-Newsletter
- WAPM-Newsletter No 1/2012
- Congress Calender
- Congress Calendar
- Prelims
- Prelims
