J Korean Soc Neonatol.  2005 May;12(1):93-99.

A Case of Severe Neonatal Hypertension in Twin-Twin Transfusion Syndrome

Affiliations
  • 1Department of Pediatrics, Maryknoll hospital, Busan, Korea. ksm7090@hanmail.net
  • 2Department of Obstetrics, Maryknoll hospital, Busan, Korea.

Abstract

Twin-twin transfusion syndrome is attributed to an unbalanced blood flow between the donor and the recipient twin, but the exact pathophysiology remains incompletely understood. Despite active prenatal management, fetal twin-twin transfusion syndrome is still associated with a substantial residual perinatal mortality and morbidity. The donor twin progressively becomes anemic, growth restricted, oliguric and has oligohydramnios, where as the recipient becomes plethoric, polyuric and has polyhydramnios and in the most severe cases develops cardiomegaly, congestive heart failure and hypertension. We report a case of severe systemic hypertension developed in recipient twin.

Keyword

Twin-twin transfusion; Hypertension

MeSH Terms

Cardiomegaly
Female
Heart Failure
Humans
Hypertension*
Oligohydramnios
Perinatal Mortality
Polyhydramnios
Pregnancy
Tissue Donors
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