Abstract |
Double umbilical pulsatile venous flow is a rare event generally associated with fetal right heart failure. We observed, at 21 weeks' gestation, this venous flow pattern in a case of twin-twin transfusion syndrome occurring in the recipient twin affected by severe hydrops. In spite of a spontaneous remission of fetal hydrops at 30 weeks, the fetus died suddenly in utero, 2 weeks later. We hypothesized that this unexpected event was related to reversed acute twin-twin transfusion, and concluded that fetal hydrops remission in twin-twin transfusion syndrome must not be considered as a reassuring prognostic index but as an indication of the need for continuing biophysical monitoring.
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Authors | D Gramellini, G Ludovici, Y Paita, A Merialdi, E Vadora |
Journal | Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
(Ultrasound Obstet Gynecol)
Vol. 5
Issue 2
Pg. 138-40
(Feb 1995)
ISSN: 0960-7692 [Print] England |
PMID | 7719867
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Blood Flow Velocity
- Female
- Fetal Death
- Fetofetal Transfusion
(diagnostic imaging, physiopathology)
- Gestational Age
- Humans
- Hydrops Fetalis
(diagnostic imaging, physiopathology)
- Pregnancy
- Pulsatile Flow
- Remission, Spontaneous
- Twins, Monozygotic
- Ultrasonography, Doppler
- Ultrasonography, Prenatal
- Umbilical Veins
(diagnostic imaging, physiopathology)
- Vena Cava, Inferior
(physiopathology)
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