Twin reverse arterial perfusion sequence
Twin reverse arterial perfusion sequence occurs in approximately one percent of monochorionic twins. This condition is always fatal for the recipient twin and carries a high mortality rate for the pump twin. Various treatment options are described, but management is continually evolving with the pub...
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| Veröffentlicht in: | Singapore medical journal 2007-12, Vol.48 (12), p.e335-e337 |
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| container_end_page | e337 |
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| container_issue | 12 |
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| container_title | Singapore medical journal |
| container_volume | 48 |
| creator | Nik Lah, N A Z Che Yaakob, C A Othman, M S Nik Mahmood, N M Z |
| description | Twin reverse arterial perfusion sequence occurs in approximately one percent of monochorionic twins. This condition is always fatal for the recipient twin and carries a high mortality rate for the pump twin. Various treatment options are described, but management is continually evolving with the publication of new data. We report an acardiac acephalic monochorionic twin who was diagnosed at 31 weeks gestation. Serial ultrasonographical examinations of the normal pump twin showed intrauterine growth restriction but with no evidence of heart failure. A healthy pump twin was delivered by caesarean section at 34 weeks. |
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This condition is always fatal for the recipient twin and carries a high mortality rate for the pump twin. Various treatment options are described, but management is continually evolving with the publication of new data. We report an acardiac acephalic monochorionic twin who was diagnosed at 31 weeks gestation. Serial ultrasonographical examinations of the normal pump twin showed intrauterine growth restriction but with no evidence of heart failure. 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This condition is always fatal for the recipient twin and carries a high mortality rate for the pump twin. Various treatment options are described, but management is continually evolving with the publication of new data. We report an acardiac acephalic monochorionic twin who was diagnosed at 31 weeks gestation. Serial ultrasonographical examinations of the normal pump twin showed intrauterine growth restriction but with no evidence of heart failure. A healthy pump twin was delivered by caesarean section at 34 weeks.</description><subject>Abnormalities, Multiple - diagnostic imaging</subject><subject>Cesarean Section</subject><subject>Female</subject><subject>Fetofetal Transfusion - diagnostic imaging</subject><subject>Follow-Up Studies</subject><subject>Gestational Age</subject><subject>Heart Defects, Congenital - diagnostic imaging</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy Reduction, Multifetal - methods</subject><subject>Pregnancy, Multiple</subject><subject>Twins, Monozygotic</subject><subject>Ultrasonography, Prenatal</subject><issn>0037-5675</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j0tLAzEURrNQ2tr6F2RW4mbgJnfyWkrxUSi4qeshk9yByLxMZhT_vQXr6mwO5-O7YhsA1KVUWq7ZTc4fAEKDMSu25gYqNMg37OH0HYci0RelTIVLM6XoumKi1C45jkOR6XOhwdOOXbeuy3R74Za9Pz-d9q_l8e3lsH88lhMX1Vz6xgWEquUqGCAUnjy2guughA5SK6FECBAcgHYGdeDW8mAdNwIbwa3CLbv_605pPC_nue5j9tR1bqBxybUyUgFYeRbvLuLS9BTqKcXepZ_6_xv-AiHaSJU</recordid><startdate>200712</startdate><enddate>200712</enddate><creator>Nik Lah, N A Z</creator><creator>Che Yaakob, C A</creator><creator>Othman, M S</creator><creator>Nik Mahmood, N M Z</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200712</creationdate><title>Twin reverse arterial perfusion sequence</title><author>Nik Lah, N A Z ; Che Yaakob, C A ; Othman, M S ; Nik Mahmood, N M Z</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p124t-cbad304f16d80e32cec3f217d627d576262dd0da007a837d1991d9a1823b21963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Abnormalities, Multiple - diagnostic imaging</topic><topic>Cesarean Section</topic><topic>Female</topic><topic>Fetofetal Transfusion - diagnostic imaging</topic><topic>Follow-Up Studies</topic><topic>Gestational Age</topic><topic>Heart Defects, Congenital - diagnostic imaging</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy Reduction, Multifetal - methods</topic><topic>Pregnancy, Multiple</topic><topic>Twins, Monozygotic</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nik Lah, N A Z</creatorcontrib><creatorcontrib>Che Yaakob, C A</creatorcontrib><creatorcontrib>Othman, M S</creatorcontrib><creatorcontrib>Nik Mahmood, N M Z</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Singapore medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nik Lah, N A Z</au><au>Che Yaakob, C A</au><au>Othman, M S</au><au>Nik Mahmood, N M Z</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Twin reverse arterial perfusion sequence</atitle><jtitle>Singapore medical journal</jtitle><addtitle>Singapore Med J</addtitle><date>2007-12</date><risdate>2007</risdate><volume>48</volume><issue>12</issue><spage>e335</spage><epage>e337</epage><pages>e335-e337</pages><issn>0037-5675</issn><abstract>Twin reverse arterial perfusion sequence occurs in approximately one percent of monochorionic twins. This condition is always fatal for the recipient twin and carries a high mortality rate for the pump twin. Various treatment options are described, but management is continually evolving with the publication of new data. We report an acardiac acephalic monochorionic twin who was diagnosed at 31 weeks gestation. Serial ultrasonographical examinations of the normal pump twin showed intrauterine growth restriction but with no evidence of heart failure. A healthy pump twin was delivered by caesarean section at 34 weeks.</abstract><cop>Singapore</cop><pmid>18043831</pmid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0037-5675 |
| ispartof | Singapore medical journal, 2007-12, Vol.48 (12), p.e335-e337 |
| issn | 0037-5675 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68560095 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Abnormalities, Multiple - diagnostic imaging Cesarean Section Female Fetofetal Transfusion - diagnostic imaging Follow-Up Studies Gestational Age Heart Defects, Congenital - diagnostic imaging Humans Infant, Newborn Pregnancy Pregnancy Outcome Pregnancy Reduction, Multifetal - methods Pregnancy, Multiple Twins, Monozygotic Ultrasonography, Prenatal |
| title | Twin reverse arterial perfusion sequence |
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