Type IV intestinal atresia, congenital bilateral perisylvian syndrome, and chronic pulmonary hypertension secondary to multiple vascular disruption syndrome in a monochorionic twin.
We describe a rare case of multiple intestinal atresias, congenital bilateral perisylvian polymicrogyria, and chronic pulmonary hypertension in a surviving monochorionic twin with co-twin demise. This constellation of congenital anomalies represents a multiple vascular disruption syndrome due to intrauterine vascular compromise in the setting of possible twin-to-twin transfusion syndrome.
Department of Surgery, University of California, San Francisco, CA 94143-0570, USA.
Eveline H
EH
Shue
Bruno
B
Soares
Jesse
J
Courtier
Jacob
J
Hogue
Thomas
T
Shimotake
Tippi C
TC
MacKenzie
D000015:Abnormalities, Multiple; D002823:Chorion; D002908:Chronic Disease; D004200:Diseases in Twins / Q000150:complications*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D007231:Infant, Newborn; D008607:Intellectual Disability / Q000150:complications*; D007409:Intestinal Atresia / Q000145:classification / Q000150:complications*; D008297:Male; D054220:Malformations of Cortical Development / Q000150:complications*; D013577:Syndrome; D014652:Vascular Diseases / Q000150:complications*