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Re: Acardiac twin From: José C. Ferreira (zec@inx.net) Sat Nov 22 07:06:10 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: José C. Ferreira: "Re: FETOFETAL TRANSFUSION SYNDROM" Previous message: rbraun@iupui.edu: "Re: Obstetrical paracervical block" Maybe in reply to: Jorge Carrillo: "Acardiac twin" I didn't understand if the normal twin is already with signs of cardiac failure. I've already followed two cases of acardiac twin. In one of them, there was a mass of bone and soft tissue. The pregnancy ended with cord entrapment and death of the normal twin, around 20 wks. The other ended in a preterm spontaneous labor followed by delivery around 30 wk., I think. Both got expectant management, with surveillance of the cardiac function of the normal twin, every other week, with fetal cardiac ultrasound. Jose Ferreira zec@inx.net Ob.-Gyn. Department, Garcia de Orta Hospital, Portugal Genetics Fellow, Montefiore Medical Center (AECOM), New York -----Original Message----- From: Peter Wein <p.wein@obstetrics_mercy.unimelb.EDU.AU> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Tue, 18 de November de 1997 11:43 PM Subject: Acardiac twin >We have a patient currently at 14 weeks, twin pregnancy with an acardiac twin (TRAPS). The mortality for the normal twin is probably about 50%. > >Options: >1. Observe closely, ? serial amniocentesis if polyhydramnios develops. >2. Attempt to occlude umbilical artery of acardiac twin ? methods. We have no-one here expert in fetoscopy. > >Has anyone injected the acardiac twin with an arterial sclerosant or percutaneously embolized its circulation? >Peter Wein >Senior Lecturer >Department of Obstetrics and Gynaecology >University of Melbourne, Mercy Hospital for Women >Clarendon Street, East Melbourne 3002 >Australia >Tel: +61 3 9270 2556 Fax: +61 3 9417 5406 Mobile: 0414 691690 > Next message: José C. Ferreira: "Re: FETOFETAL TRANSFUSION SYNDROM" Previous message: rbraun@iupui.edu: "Re: Obstetrical paracervical block" Maybe in reply to: Jorge Carrillo: "Acardiac twin"

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