Monochorionic twin pregnancy complicated by right ventricular outflow tract obstruction (RVOTO) of one fetus without proof of a twin-twin transfusion syndrome

Author(s):  
C Eckmann-Scholz ◽  
M Kanzow ◽  
K Hecher
2017 ◽  
Vol 49 (6) ◽  
pp. 737-743 ◽  
Author(s):  
S. J. Eschbach ◽  
L. S. T. M. Boons ◽  
E. Van Zwet ◽  
J. M. Middeldorp ◽  
F. J. C. M. Klumper ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
S. B. de Haseth ◽  
M. C. Haak ◽  
A. A. W. Roest ◽  
M. E. B. Rijlaarsdam ◽  
D. Oepkes ◽  
...  

Monochorionic twin pregnancies are at increased risk of perinatal mortality and morbidity due to twin-twin transfusion syndrome (TTTS), selective intrauterine growth restriction (sIUGR), and higher incidence of congenital heart malformations. The incidence of right ventricular outflow tract obstruction (RVOTO) in recipients with TTTS is known to be higher than in the general population. There is limited data on the risk of RVOTO in monochorionic twins with sIUGR. We report a case of RVOTO in the larger twin in a monochorionic twin pregnancy with sIUGR, treated successfully with balloon dilatation after birth.


2021 ◽  
pp. 1-4
Author(s):  
Baher M. Hanna ◽  
Wesam E. El-Mozy ◽  
Sonia A. El-Saiedi

Abstract Isolated sub-pulmonary membrane is a rare condition, the origin of which has been debatable. Transcatheter treatment of pulmonary valve atresia with intact interventricular septum by radiofrequency perforation and balloon dilatation to restore biventricular circulation is gaining more popularity, with improving results over time. We report in our experience of 79 cases in 10 years the development of a sub-pulmonary membrane in 4 cases: causing significant obstruction requiring surgical excision in one case that revealed a fibrous membrane on pathology; causing mild right ventricular outflow tract obstruction in another and not yet causing obstruction in 2. On cardiac MRI, the right ventricular outflow tract and the right ventricular outflow tract/pulmonary atresia angle showed no morphological abnormalities.


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