title: [Twin pregnancy complicated by "twin reversed arterial perfusion" syndrome].
abstract: We have reported twin pregnancy complicated by uncommon "twin reversed arterial perfusion" syndrome. Ultrasound scan at 27th week of gestation revealed one normal foetus and the second one "acardiac" with severe malformations. Since the cardiac failure of the first twin was observed, the digitalis were administered till the end of pregnancy. The pregnancy was terminated at 31st week by caesarean section. We succeed in delivering one healthy newborn, which was possible by appropriate management including elective termination, observation (ultrasonography and cardiotocography) and nonsurgical intervention (digitalis).
authors.affiliation: Kliniki Połoznictwa i Perinatologii II Katedry Połoznictwa i Chorób Kobiecych AM w Lublinie.
authors.forename: B
authors.initials: B
authors.lastname: Marciniak
authors.forename: B
authors.initials: B
authors.lastname: Leszczyńska-Gorzelak
authors.forename: M
authors.initials: M
authors.lastname: Grzechnik
authors.forename: D
authors.initials: D
authors.lastname: Szymula
authors.forename: J
authors.initials: J
authors.lastname: Oleszczuk
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis*; D000328:Adult; D002585:Cesarean Section; D004200:Diseases in Twins / Q000175:diagnosis*; D005260:Female; D005313:Fetal Death; D005315:Fetal Diseases / Q000175:diagnosis*; D005318:Fetal Heart / Q000002:abnormalities*; D005323:Fetal Monitoring; D005330:Fetofetal Transfusion / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D013577:Syndrome; D016216:Ultrasonography, Prenatal
vernacular_title: Ciaza bliźniacza powikłana zespołem "odwróconego przepływu krwi".