title: Prenatal sonographic diagnosis and management of a twin pregnancy with placenta previa and hemicardia.
abstract: The sonographic diagnosis of a twin pregnancy complicated by acardius anceps of one fetus, total placenta previa, uterine overdistension, and preterm labor is presented and management is discussed. Attempted selective fetocide is described, but was not successful. Clinical management of severe discordant sonographic dysmorphology is discussed, and diagnostic criteria for sonographic diagnosis of acardia are presented.
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill.
authors.forename: J W
authors.initials: JW
authors.lastname: Seeds
authors.forename: W N
authors.initials: WN
authors.lastname: Herbert
authors.forename: D S
authors.initials: DS
authors.lastname: Richards
mesh_terms: D009008:Abnormalities, Severe Teratoid / Q000175:diagnosis; D000328:Adult; D004200:Diseases in Twins; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006801:Humans; D007752:Obstetric Labor, Premature / Q000175:diagnosis*; D010923:Placenta Previa / Q000175:diagnosis*; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011296:Prenatal Diagnosis; D014427:Twins; D014463:Ultrasonography