Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction

Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction

Monochorionic twin pregnancies are at increased risk of perinatal mortality and morbidity due to twin-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR), and higher incidence of congenital heart malformations. The incidence of right ventricular outflow tract obstruct...

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Main Authors: S. B. de Haseth, M. C. Haak, A. A. W. Roest, M. E. B. Rijlaarsdam, D. Oepkes, E. Lopriore
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2012/426825
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spelling doaj-bce1418dbea747d9bcdde303edb635a12020-11-24T23:04:23ZengHindawi LimitedCase Reports in Pediatrics2090-68032090-68112012-01-01201210.1155/2012/426825426825Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth RestrictionS. B. de Haseth0M. C. Haak1A. A. W. Roest2M. E. B. Rijlaarsdam3D. Oepkes4E. Lopriore5Division of Fetal Medicine, Department of Obstetrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDivision of Fetal Medicine, Department of Obstetrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDivision of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDivision of Pediatric Cardiology, Department of Pediatrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDivision of Fetal Medicine, Department of Obstetrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsDivision of Neonatology, Department of Pediatrics, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsMonochorionic twin pregnancies are at increased risk of perinatal mortality and morbidity due to twin-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR), and higher incidence of congenital heart malformations. The incidence of right ventricular outflow tract obstruction (RVOTO) in recipients with TTTS is known to be higher than in the general population. There is limited data on the risk of RVOTO in monochorionic twins with sIUGR. We report a case of RVOTO in the larger twin in a monochorionic twin pregnancy with sIUGR, treated successfully with balloon dilatation after birth.http://dx.doi.org/10.1155/2012/426825
collection DOAJ
language English
format Article
sources DOAJ
author S. B. de Haseth
M. C. Haak
A. A. W. Roest
M. E. B. Rijlaarsdam
D. Oepkes
E. Lopriore
spellingShingle S. B. de Haseth
M. C. Haak
A. A. W. Roest
M. E. B. Rijlaarsdam
D. Oepkes
E. Lopriore
Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction
Case Reports in Pediatrics
author_facet S. B. de Haseth
M. C. Haak
A. A. W. Roest
M. E. B. Rijlaarsdam
D. Oepkes
E. Lopriore
author_sort S. B. de Haseth
title Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction
title_short Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction
title_full Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction
title_fullStr Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction
title_full_unstemmed Right Ventricular Outflow Tract Obstruction in Monochorionic Twins with Selective Intrauterine Growth Restriction
title_sort right ventricular outflow tract obstruction in monochorionic twins with selective intrauterine growth restriction
publisher Hindawi Limited
series Case Reports in Pediatrics
issn 2090-6803
2090-6811
publishDate 2012-01-01
description Monochorionic twin pregnancies are at increased risk of perinatal mortality and morbidity due to twin-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR), and higher incidence of congenital heart malformations. The incidence of right ventricular outflow tract obstruction (RVOTO) in recipients with TTTS is known to be higher than in the general population. There is limited data on the risk of RVOTO in monochorionic twins with sIUGR. We report a case of RVOTO in the larger twin in a monochorionic twin pregnancy with sIUGR, treated successfully with balloon dilatation after birth.
url http://dx.doi.org/10.1155/2012/426825
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