Monochorionic twins in which at least one fetus has a congenital heart disease with or without twin-twin transfusion syndrome.

Monochorionic twins in which at least one fetus has a congenital heart disease with or without twin-twin transfusion syndrome. Research Abstract Details 

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Monochorionic twins in which at least one fetus has a congenital heart disease with or without twin-twin transfusion syndrome. Abstract Text:

Nobuhiro Hidaka,Kiyomi Tsukimori,Yoshihide Chiba,Toshiro Hara,Norio Wake,Nobuhiro Hidaka,Kiyomi Tsukimori,Yoshihide Chiba,Toshiro Hara,Norio Wake,

AIMS: To review the course of monochorionic (MC) twin gestations in which one or both fetuses were diagnosed with congenital heart disease (CHD) and to identify clinical characteristics regarding the related intrauterine environmental factors particularly associated with non-twin-twin transfusion syndrome (TTTS). METHODS: This study is a review of a two-center experience of MC twin pregnancies with CHD born between 2000 and 2006. RESULTS: There were 87 MC twin pregnancies of which 11 were associated with fetal heart disease. We found concordance of CHD in 2 of the 11 twin sets. Among all of the discordant cases, the size of the affected twin was smaller. TTTS was observed in one case associated with CHD; in this case the donor twin had a coarctation of the aorta. Abnormal cord insertion was observed in 9 (69%) out of the 13 affected infants, and a significant relation was found between the presence of CHD and abnormal cord insertion. CONCLUSIONS: Of the MC twins, the smaller seemed more likely to be affected by primary structural cardiac anomalies. CHD in MC twins is possibly related to an abnormal cord insertion. Further studies are warranted to determine whether a causal relationship exists.

Monochorionic twins in which at least one fetus has a congenital heart disease with or without twin-twin transfusion syndrome. Publishing Authors By Initials

N Hidaka,K Tsukimori,Y Chiba,T Hara,N Wake,N Hidaka,K Tsukimori,Y Chiba,T Hara,N Wake,

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Monochorionic twins in which at least one fetus has a congenital heart disease with or without twin-twin transfusion syndrome. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Journal of perinatal medicine

VOLUME: 35

Page Numbers: 425-30

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ISSN: 0300-5577

DAY: 9

MONTH: 08

YEAR: 2007

Monochorionic twins in which at least one fetus has a congenital heart disease with or without twin-twin transfusion syndrome. Information

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LANGUAGE: eng

NlmUniqueID: 361031

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Grant and Affiliation Information for Monochorionic twins in which at least one fetus has a congenital heart disease with or without twin-twin transfusion syndrome.

AFFILIATION: Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. n-hidaka@kpa.biglobe.ne.jp

Country: Germany

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MEDLINETA: J Perinat Med

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