Fetal and neonatal hypertension in twin-twin transfusion syndrome: A case report

被引：11

作者：

Baud, O ^{[1
]}

Lebidois, J ^{[1
]}

Van Peborgh, P ^{[1
]}

Ville, Y ^{[1
]}

机构：

[1] Hop Antoine Beclere, Fetal Med Unit, Clamart, France

来源：

FETAL DIAGNOSIS AND THERAPY | 1998年 / 13卷 / 04期

关键词：

fetal hypertension; twin-twin transfusion syndrome; laser coagulation; fetoscopy; fetal cardiac failure;

D O I：

10.1159/000020842

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We report a case of fetal systemic hypertension. This occurred in an ex-donor twin soon after coagulation of chorionic vessels and amniodrainage performed for severe twin-twin transfusion syndrome during the 2nd trimester of pregnancy. Systemic hypertension was suspected because of a high systolic velocity through the tricuspid valve, and Bernoulli's equation was used to estimate the right intraventricular pressure. As both pulmonary arteries and ductus arteriosus were normal, the pressure in the aorta was considered to be equal to that in the right ventricle (60 mm Hg). Fetal systemic hypertension could have happened either because of a dramatic increase in placental resistances in the territory of the ex-donor twin or by reversal of the fetofetal transfusion pathological process.

引用

页码：223 / 226

页数：4

共 9 条

[1] THE PLACENTA IN TWIN GESTATION [J].