Premium
Spontaneous remission of double pulsatile umbilical venous flow in twin‐twin transfusion syndrome: a case report
Author(s) -
Gramellini D.,
Ludovici G.,
Paita Y.,
Merialdi A.,
Vadora E.
Publication year - 1995
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1995.05020138.x
Subject(s) - medicine , pulsatile flow , in utero , fetus , twin pregnancy , obstetrics , hydrops fetalis , pregnancy , gestation , twin twin transfusion syndrome , surgery , cardiology , biology , genetics
Double umbilical pulsatile venous flow is a rare event generally associated with fetal right heart failure. We observed, at 21 weeks' gestation, this venous flow pattern in a case of twin‐twin transfusion syndrome occurring in the recipient twin affected by severe hydrops. In spite of a spontaneous remission of fetal hydrops at 30 weeks, the fetus died suddenly in utero, 2 weeks later. We hypothesized that this unexpected event was related to reversed acute twin‐twin transfusion, and concluded that fetal hydrops remission in twin‐twin transfusion syndrome must not be considered as a reassuring prognostic index but as an indication of the need for continuing biophysical monitoring. Copyright © 1995 International Society of Ultrasound in Obstetrics and Gynecology