Acardiac twin pregnancy with neonatal resolution of donor twin cardiomyopathy

Sujata Chandra, Joan M.G. Crane, David C. Young, Surya Shah

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Background: Twin reverse arterial perfusion, as with acardiac fetuses, is a rare complication of multifetal pregnancy. Prognosis of the donor twin is guarded because of the high risk of cardiac failure, polyhydramnios, and preterm delivery. Case: A 40-year-old woman, gravida 4, para 3, was diagnosed at 19 weeks' gestation with a twin pregnancy complicated by an acardiac, acephalic fetus. Serial amniocenteses were done to decompress the hydramnios between 27 and 33 weeks. Ultrasonography showed ventricular septal hypertrophy in the donor twin at 27 weeks, and cesarean delivery was done at 33 weeks. The neonatal course was complicated by hypertrophic cardiomyopathy, which resolved without sequelae by 1 year of age. Conclusion: Antenatal sonographic monitoring of interventricular septal thickness can be a useful marker to predict neonatal cardiac sequelae. (C) 2000 by The American College of Obstetricians and Gynecologists.

Original languageEnglish
Pages (from-to)820-821
Number of pages2
JournalObstetrics and Gynecology
Volume96
Issue number5
DOIs
Publication statusPublished - 2000

ASJC Scopus Subject Areas

  • Obstetrics and Gynaecology

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