title: Upper limb vascular occlusion in the recipient of a monochorionic twin pair.
abstract: Monochorionicity is responsible for an increased rate of severe complications because of unequal splitting of the placental mass and/or an imbalance in the blood flow across placental vascular anastomoses. Vascular limb occlusion is one of the rare complications of monochorionic twins, usually occurring in the lower extremities after intra-uterine death of one twin, antenatal intervention (amnio-reduction or laser therapy) or in the presence of twin anemia-polycythemia syndrome. We report a case of vascular occlusion of the upper extremity in the recipient twin of a monochorionic pair in the absence of those predisposing factors.
authors.affiliation: Fetal Medicine Unit, 3rd Department of Obstetrics and Gynaecology, University of Athens, 'Attikon' University Hospital , Athens , Greece and.
authors.forename: Christos
authors.initials: C
authors.lastname: Parthenis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Koleskas
authors.forename: Chara
authors.initials: C
authors.lastname: Spanoudaki
authors.forename: Varvara
authors.initials: V
authors.lastname: Delivoria
authors.forename: Athena
authors.initials: A
authors.lastname: Souka
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000175:diagnosis*; D005260:Female; D005330:Fetofetal Transfusion / Q000175:diagnosis*; D005542:Forearm / Q000098:blood supply*; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D014430:Twins, Monozygotic
keywords: Limb occlusion; TTTS; recipient