A Case of Severe Neonatal Hypertension in Twin-Twin Transfusion Syndrome.
- Author:
Soo Kyoung PARK
1
;
Ji Hyun PARK
;
Sung Mi KIM
;
Jin Hwa JUNG
;
Kil Hyun KIM
;
Jung Sil PARK
Author Information
1. Department of Pediatrics, Maryknoll hospital, Busan, Korea. ksm7090@hanmail.net
- Publication Type:Case Report
- Keywords:
Twin-twin transfusion;
Hypertension
- MeSH:
Cardiomegaly;
Female;
Heart Failure;
Humans;
Hypertension*;
Oligohydramnios;
Perinatal Mortality;
Polyhydramnios;
Pregnancy;
Tissue Donors
- From:Journal of the Korean Society of Neonatology
2005;12(1):93-99
- CountryRepublic of Korea
- Language:Korean
-
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.
