Acardiac Twin with Preserved Brain
The fatal acardiac syndrome is a rare complication of monochorionic twinning and is reported in 1 of 35,000 births. It is caused by arterioarterial and venovenous placental anastomoses leading to circulatory predominance of 1 twin. The donor ‘pump’ twin provides circulation for itself and for the re...
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Veröffentlicht in: | Fetal diagnosis and therapy 2001-07, Vol.16 (4), p.231-233 |
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creator | Petersen, Bodil Laub Broholm, Helle Skibsted, Lillian Græm, Niels |
description | The fatal acardiac syndrome is a rare complication of monochorionic twinning and is reported in 1 of 35,000 births. It is caused by arterioarterial and venovenous placental anastomoses leading to circulatory predominance of 1 twin. The donor ‘pump’ twin provides circulation for itself and for the recipient acardiac twin. The acardiac twin is usually grossly abnormal with severe reduction anomalies of the upper part of the body. We report a twin pregnancy, where a recipient twin initially by ultrasound was misdiagnosed as dead. In the third trimester the supposedly dead twin presented as an edematous acardiac twin without peripheral reduction defects and a nearly normally developed brain. An acardiac twin with a nearly normal external appearance and an almost normally developed brain, nourished by a surviving twin brother, has not previously been described in the literature. |
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It is caused by arterioarterial and venovenous placental anastomoses leading to circulatory predominance of 1 twin. The donor ‘pump’ twin provides circulation for itself and for the recipient acardiac twin. The acardiac twin is usually grossly abnormal with severe reduction anomalies of the upper part of the body. We report a twin pregnancy, where a recipient twin initially by ultrasound was misdiagnosed as dead. In the third trimester the supposedly dead twin presented as an edematous acardiac twin without peripheral reduction defects and a nearly normally developed brain. An acardiac twin with a nearly normal external appearance and an almost normally developed brain, nourished by a surviving twin brother, has not previously been described in the literature.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Brain - anatomy & histology</subject><subject>Brain - embryology</subject><subject>Diagnostic Errors</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Fetofetal Transfusion - diagnosis</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heart Defects, Congenital - diagnosis</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Pregnancy. Fetus. 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It is caused by arterioarterial and venovenous placental anastomoses leading to circulatory predominance of 1 twin. The donor ‘pump’ twin provides circulation for itself and for the recipient acardiac twin. The acardiac twin is usually grossly abnormal with severe reduction anomalies of the upper part of the body. We report a twin pregnancy, where a recipient twin initially by ultrasound was misdiagnosed as dead. In the third trimester the supposedly dead twin presented as an edematous acardiac twin without peripheral reduction defects and a nearly normally developed brain. An acardiac twin with a nearly normal external appearance and an almost normally developed brain, nourished by a surviving twin brother, has not previously been described in the literature.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>11399885</pmid><doi>10.1159/000053916</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Brain - anatomy & histology Brain - embryology Diagnostic Errors Diseases of mother, fetus and pregnancy Female Fetofetal Transfusion - diagnosis Gynecology. Andrology. Obstetrics Heart Defects, Congenital - diagnosis Humans Medical sciences Pregnancy Pregnancy Complications Pregnancy. Fetus. Placenta Twins |
title | Acardiac Twin with Preserved Brain |
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