[Myocardial hypertrophy in the recipient with twin-to-twin transfusion syndrome].
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.
Pedersen
Pernille
P
Børneafdelingen, Hvidovre Hospital, DK-2650 Hvidovre. pp-ng@inet.uni2.dk.
Jeppesen
Dorthe L
DL
Jørgensen
Finn Stener
FS
Pryds
Ole A
OA
D000328:Adult; D001803:Blood Transfusion; D005260:Female; D005330:Fetofetal Transfusion / Q000150:complications*; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000209:etiology*; D017380:Hypertrophy, Right Ventricular / Q000209:etiology*; D007231:Infant, Newborn; D011247:Pregnancy; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology