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Prenatally Acquired Multiple Limb Ischemia in a Very Low Birth Weight Monochorionic Twin
Z. Straňák, P. Korček, L. Hympánová, M. Kynčl, L. Krofta,
Language English Country Switzerland
Document type Case Reports, Journal Article
PubMed
26159475
DOI
10.1159/000434644
Knihovny.cz E-resources
- MeSH
- Amputation, Surgical methods MeSH
- Anemia complications diagnostic imaging surgery MeSH
- Lower Extremity blood supply diagnostic imaging surgery MeSH
- Twins, Monozygotic * MeSH
- Fetofetal Transfusion complications diagnostic imaging surgery MeSH
- Ischemia complications diagnostic imaging surgery MeSH
- Humans MeSH
- Infant, Very Low Birth Weight * MeSH
- Polycythemia complications diagnostic imaging surgery MeSH
- Pregnancy MeSH
- Lower Extremity Deformities, Congenital complications diagnostic imaging surgery MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
Limb ischemia is an extremely rare event occuring in monochorionic twin pregnancy complicated by twin-to-twin transfusion syndrome (TTTS) and twin anemia polycythemia sequence (TAPS). The authors describe a case of TTTS and TAPS treated successfully using amnioreduction and laser ablation. However, severe ischemia of both lower extremities in the recipient twin developed after the fetal treatment. This serious complication was diagnosed on MRI in utero and confirmed postnatally. Elective amputation of the affected limbs was performed. The etiology of the disease remains unclear despite profound clinical and histopathological examinations; although the role of thromboembolism in monochorionic pregnancy seems to be most likely, this unique case of multiple limb ischemia with distinct macroscopic findings has not yet been described.
References provided by Crossref.org
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