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The Fetal Heart in Twin-to-Twin Transfusion Syndrome
Joint Authors
DeKoninck, Philip
Van Schoubroeck, Dominique
Deprest, Jan
Lewi, Liesbeth
Van Mieghem, Tim
Gucciardo, Léonardo
Devlieger, Roland
Source
International Journal of Pediatrics
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-08-08
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Twin-to-twin transfusion syndrome is a severe complication occurring in 10% of monochorionic twin pregnancies.
The disease is usually explained as due to an intrauterine imbalance in intertwin blood exchange, which leads to a volume depleted-donor twin and an overfilled recipient twin.
The recipient has signs of cardiac dysfunction, which can be measured using echocardiography or blood and amniotic fluid derived biomarkers.
Whereas cardiac dysfunction typically progresses in pregnancies treated with amniodrainage, it usually disappears within a few weeks after fetoscopic laser coagulation of the connecting intertwin anastomoses.
Nevertheless, recipients remain at a increased risk of pulmonary stenosis.
In this paper, we summarize the cardiac alterations in twin-to-twin transfusion syndrome, describe the changes seen after fetal therapy, list the newly proposed staging systems based on fetal cardiac function, and make recommendations about the use of fetal echocardiography in the evaluation and followup of pregnancies complicated by twin-to-twin transfusion syndrome.
American Psychological Association (APA)
Van Mieghem, Tim& Lewi, Liesbeth& Gucciardo, Léonardo& DeKoninck, Philip& Van Schoubroeck, Dominique& Devlieger, Roland…[et al.]. 2010. The Fetal Heart in Twin-to-Twin Transfusion Syndrome. International Journal of Pediatrics،Vol. 2010, no. 2010, pp.1-8.
https://search.emarefa.net/detail/BIM-467445
Modern Language Association (MLA)
Van Mieghem, Tim…[et al.]. The Fetal Heart in Twin-to-Twin Transfusion Syndrome. International Journal of Pediatrics No. 2010 (2010), pp.1-8.
https://search.emarefa.net/detail/BIM-467445
American Medical Association (AMA)
Van Mieghem, Tim& Lewi, Liesbeth& Gucciardo, Léonardo& DeKoninck, Philip& Van Schoubroeck, Dominique& Devlieger, Roland…[et al.]. The Fetal Heart in Twin-to-Twin Transfusion Syndrome. International Journal of Pediatrics. 2010. Vol. 2010, no. 2010, pp.1-8.
https://search.emarefa.net/detail/BIM-467445
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-467445