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J Korean Soc Neonatol. 2005 May;12(1):93-99. Korean. Case Report.
Park SK , Park JH , Kim SM , Jung JH , Kim KH , Park JS .
Department of Pediatrics, Maryknoll hospital, Busan, Korea. ksm7090@hanmail.net
Department 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.

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