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Am J Perinatol 1990; 7(2): 107-109
DOI: 10.1055/s-2007-999457
ORIGINAL ARTICLE

© 1990 by Thieme Medical Publishers, Inc.

In Utero Resolution of Hydrops Fetalis Following the Death of One Twin in Twin-Twin Transfusion

Brian Kirshon, Kenneth J. Moise Jr. , Giancarlo Mari, Suzanne Rothchild, Nathan Wasserstrum
  • Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine, Houston, Texas
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Publication History

Publication Date:
04 March 2008 (online)

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ABSTRACT

A case of massive hydramnios involving a twin-twin transfusion syndrome is presented with death of the larger twin and the development of hydrops fetal is in the surviving smaller twin. The amniotic fluid volume of the surviving twin became normal and the hydrops fetal is resolved spontaneously in utero. Concomitant with the resolution of the hydrops fetal is, the umbilical cord systolic to diastolic ratio improved. At the time of delivery, the hydrops had resolved. The liveborn infant died 11 days later secondary to pulmonary hypertension and cardiorespiratory failure. Although the fetal status improved in utero, the pulmonary hypertension postdelivery resulted in neonatal death.

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