THE NORMAL FETUS OF AN ACARDIAC TWIN PREGNANCY - PERINATAL MANAGEMENT BASED ON ECHOCARDIOGRAPHIC AND SONOGRAPHIC EVALUATION

被引：20

作者：

DONNENFELD, AE

VANDEWOESTIJNE, J

CRAPARO, F

SMITH, CS

LUDOMIRSKY, A

WEINER, S

机构：

[1] PENN HOSP,DEPT OBSTET & GYNECOL,MATERNAL FETAL MED SECT,PHILADELPHIA,PA 19107

[2] PENN HOSP,DEPT PATHOL,PHILADELPHIA,PA 19107

来源：

PRENATAL DIAGNOSIS | 1991年 / 11卷 / 04期

关键词：

ACARDIAC ACEPHALIC TWIN; HEMICARDIA; PRENATAL DIAGNOSIS; DOPPLER; TWIN REVERSED ARTERIAL PERFUSION;

D O I：

10.1002/pd.1970110405

中图分类号：

Q3 [遗传学];

学科分类号：

071007 ; 090102 ;

摘要：

Experience with three prenatally diagnosed pregnancies complicated by an acardiac twin reveals that ultrasonography and echocardiography are helpful in detecting early signs of in-utero congestive heart failure in the normal twin. The use of Doppler blood flow analysis to determine direction of blood flow, post-mortem placental and fetal angiography, and umbilical cord blood gas determination provided proof that retrograde arterial perfusion occurs in the acardiac fetus. In a fourth pregnancy, an experimental approach to occlude the acardiac twin's umbilical cord was attempted, but was unsuccessful.

引用

页码：235 / 244

页数：10

共 25 条

[1]

Allan L D, 1986, MANUAL FETAL ECHOCAR

[2] EVALUATION AND TREATMENT OF FETAL ARRHYTHMIAS [J].