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Titolo:
POTENTIAL VALUE OF FETAL ECHOCARDIOGRAPHY IN THE DIFFERENTIAL-DIAGNOSIS OF TWIN PREGNANCY WITH PRESENCE OF POLYHYDRAMNIOS-OLIGOHYDRAMNIOS SYNDROME
Autore:
LACHAPELLE MF; LEDUC L; COTE JM; GRIGNON A; FOURON JC;
Indirizzi:
UNIV MONTREAL,HOP ST JUSTINE,DEPT PEDIAT,FETAL CARDIOL UNIT,3175 COTEST CATHERINE RD MONTREAL PQ H3T 1C5 CANADA UNIV MONTREAL,HOP ST JUSTINE,DEPT PEDIAT,FETAL CARDIOL UNIT MONTREAL PQ H3T 1C5 CANADA UNIV MONTREAL,HOP ST JUSTINE,DEPT OBSTET & GYNECOL MONTREAL PQ H3T 1C5 CANADA UNIV MONTREAL,HOP ST JUSTINE,DEPT RADIOL MONTREAL PQ H3T 1C5 CANADA
Titolo Testata:
American journal of obstetrics and gynecology
fascicolo: 2, volume: 177, anno: 1997,
pagine: 388 - 394
SICI:
0002-9378(1997)177:2<388:PVOFEI>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSFUSION SYNDROME; UMBILICAL ARTERY; STUCK TWIN; DOPPLER; ULTRASOUND; PREDICTION; PAIRS; SIZE;
Keywords:
FETAL ECHOCARDIOGRAPHY; POLYHYDRAMNIOS-OLIGOHYDRAMNIOS SEQUENCE; TWIN-TWIN TRANSFUSION SYNDROME; SHORTENING FRACTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
M.F. Lachapelle et al., "POTENTIAL VALUE OF FETAL ECHOCARDIOGRAPHY IN THE DIFFERENTIAL-DIAGNOSIS OF TWIN PREGNANCY WITH PRESENCE OF POLYHYDRAMNIOS-OLIGOHYDRAMNIOS SYNDROME", American journal of obstetrics and gynecology, 177(2), 1997, pp. 388-394

Abstract

OBJECTIVE: Our purpose was to establish whether index values of cardiac performance could discriminate between the twin-twin transfusion syndrome and placental insufficiency as the etiology of the polyhydramnios-oligohydramnios sequence in monochorionic diamniotic twins. STUDY DESIGN: Thirteen monochorionic diamniotic twin pregnancies with ultrasonographic evidence of polyhydramnios-oligohydramnios sequence had a complete echocardiography. The etiology was confirmed postnatally: placental insufficiency in eight pairs and the twin-twin transfusion syndrome in five. Intertwin comparisons were made for the following cardiac parameters: cardiothoracic index, end-diastolic thickness of the ventricular wails and septum, aortic and pulmonary artery Doppler peak velocities, ejection and acceleration times, left ventricular shortening fraction, and combined cardiac output and output indexed to fetal weight. RESULTS: All five recipient twins had thickened Ventricular walls. The left Ventricular shortening fractions and outputs were significantly increased in the donor twin with twin-twin transfusion syndrome andnormal in placental insufficiency. CONCLUSION: In twin-twin transfusion syndrome the donor twin shows evidence of a hyperdynamic cardiac state. Intertwin comparison of cardiac parameters, especially the left ventricular shortening traction, can be considered a useful tool in diagnosing the different etiologies of the polyhydramnios-oligohydramniossequence.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 14:30:56