Modified underlying cardiac disease severity in twin-twin transfusion syndrome
Twin-twin transfusion syndrome or related conditions affect fetal loading. We report monochorionic-diamniotic twins. Twin 1 had Ebstein anomaly with mild tricuspid regurgitation (TR) and slightly thickened tricuspid valve leaflets with plastering. Twin 2 had tricuspid valve dysplasia (with abnormal...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Annals of Pediatric Cardiology |
| Subjects: | |
| Online Access: | http://www.annalspc.com/article.asp?issn=0974-2069;year=2019;volume=12;issue=3;spage=336;epage=338;aulast= |
| _version_ | 1831840292694654976 |
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| author | Hirotaka Ishido Satoshi Masutani Yukiko Mikami Kazunori Baba Michitaka Fuse Keiko Mizuta Risa Tanaka Kenji Sugamoto Yoichi Iwamoto Hideaki Senzaki |
| author_facet | Hirotaka Ishido Satoshi Masutani Yukiko Mikami Kazunori Baba Michitaka Fuse Keiko Mizuta Risa Tanaka Kenji Sugamoto Yoichi Iwamoto Hideaki Senzaki |
| author_sort | Hirotaka Ishido |
| collection | DOAJ |
| description | Twin-twin transfusion syndrome or related conditions affect fetal loading. We report monochorionic-diamniotic twins. Twin 1 had Ebstein anomaly with mild tricuspid regurgitation (TR) and slightly thickened tricuspid valve leaflets with plastering. Twin 2 had tricuspid valve dysplasia (with abnormal thickening but without plastering) with moderate TR and mild right atrial dilatation. After birth, the severity of TR was greatly reduced in the recipient but increased in the donor. Therefore, intravascular volume change which was due to twin-twin transfusion syndrome seemed to affect the severity of the valvar disease in fetuses. This case suggests that the intrinsic severity of fetal tricuspid valvular disease may be overestimated in the recipient and underestimated in the donor twin. These factors need to be taken into consideration in clinical decision-making. |
| first_indexed | 2024-12-23T06:09:14Z |
| format | Article |
| id | doaj.art-7ba8268a10e043718e643c9dc720aab6 |
| institution | Directory Open Access Journal |
| issn | 0974-2069 |
| language | English |
| last_indexed | 2024-12-23T06:09:14Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj.art-7ba8268a10e043718e643c9dc720aab62022-12-21T17:57:30ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692019-01-0112333633810.4103/apc.APC_112_18Modified underlying cardiac disease severity in twin-twin transfusion syndromeHirotaka IshidoSatoshi MasutaniYukiko MikamiKazunori BabaMichitaka FuseKeiko MizutaRisa TanakaKenji SugamotoYoichi IwamotoHideaki SenzakiTwin-twin transfusion syndrome or related conditions affect fetal loading. We report monochorionic-diamniotic twins. Twin 1 had Ebstein anomaly with mild tricuspid regurgitation (TR) and slightly thickened tricuspid valve leaflets with plastering. Twin 2 had tricuspid valve dysplasia (with abnormal thickening but without plastering) with moderate TR and mild right atrial dilatation. After birth, the severity of TR was greatly reduced in the recipient but increased in the donor. Therefore, intravascular volume change which was due to twin-twin transfusion syndrome seemed to affect the severity of the valvar disease in fetuses. This case suggests that the intrinsic severity of fetal tricuspid valvular disease may be overestimated in the recipient and underestimated in the donor twin. These factors need to be taken into consideration in clinical decision-making.http://www.annalspc.com/article.asp?issn=0974-2069;year=2019;volume=12;issue=3;spage=336;epage=338;aulast=Fetal echocardiographytricuspid insufficiencytwin amniotic fluid discordancetwin-twin transfusion syndrome |
| spellingShingle | Hirotaka Ishido Satoshi Masutani Yukiko Mikami Kazunori Baba Michitaka Fuse Keiko Mizuta Risa Tanaka Kenji Sugamoto Yoichi Iwamoto Hideaki Senzaki Modified underlying cardiac disease severity in twin-twin transfusion syndrome Annals of Pediatric Cardiology Fetal echocardiography tricuspid insufficiency twin amniotic fluid discordance twin-twin transfusion syndrome |
| title | Modified underlying cardiac disease severity in twin-twin transfusion syndrome |
| title_full | Modified underlying cardiac disease severity in twin-twin transfusion syndrome |
| title_fullStr | Modified underlying cardiac disease severity in twin-twin transfusion syndrome |
| title_full_unstemmed | Modified underlying cardiac disease severity in twin-twin transfusion syndrome |
| title_short | Modified underlying cardiac disease severity in twin-twin transfusion syndrome |
| title_sort | modified underlying cardiac disease severity in twin twin transfusion syndrome |
| topic | Fetal echocardiography tricuspid insufficiency twin amniotic fluid discordance twin-twin transfusion syndrome |
| url | http://www.annalspc.com/article.asp?issn=0974-2069;year=2019;volume=12;issue=3;spage=336;epage=338;aulast= |
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