Details

Autor(en) / Beteiligte

• Pedersen, Pernille
• Jeppesen, Dorthe L
• Jørgensen, Finn Stener
• Pryds, Ole A

Titel

Myocardial hypertrophy in the recipient with twin-to-twin transfusion syndrome

Ist Teil von

• Ugeskrift for læger, 2008-01, Vol.170 (5), p.353

Ort / Verlag

Denmark

Erscheinungsjahr

2008

Quelle

MEDLINE

Beschreibungen/Notizen

• In a set of monochorionic-diamniotic twins with twin-to-twin transfusion syndrome, systemic hypertension and biventricular myocardial hypertrophy were found in the recipient. The infant developed mild respiratory distress. A partial exchange transfusion was performed because of polycytaemia. Blood pressure measurements revealed persistent systemic hypertension. Biventricular hypertrophy was demonstrated by echocardiography. Blood pressure normalised after treatment with Nifedipine and the cardiac hypertrophy subsided over the following weeks. A potential contributing mechanism is intrauterine shunting of high renin levels from the donor to the recipient through anastomoses in the placenta.