Sök artiklar i SveMed+

Observera: SveMed+ upphör att uppdateras!



Hypertensiv myokardiehypertrofi hos recipienten i tvilling til tvilling-transfusionssyndrom
Engelsk titel: Myocardial hypertrophy in the recipient with twin-to-twin transfusion syndrome Läs online Författare: Pedersen P ; Jeppesen DL ; Jörgensen FS ; Pryds OA Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 08041907

Tidskrift

Ugeskrift for Laeger 2008;170(5)353 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

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.