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
Hauptverfasser: Petersen, Bodil Laub, Broholm, Helle, Skibsted, Lillian, Græm, Niels
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container_title Fetal diagnosis and therapy
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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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source Karger Journal Archive Collection; Karger Journals; MEDLINE; Alma/SFX Local Collection
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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