Intrauterine left chamber myocardial infarction of the heart and hydrops fetalis in the recipient fetus due to twin-to-twin transfusion syndrome

Tamás Marton, Júlia Hajdú, Ervin Hruby, Zoltán Papp

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

A rare complication of twin-to-twin transfusion syndrome (TTTS) is described: myocardial infarction of the recipient fetus. Myocardial infarction and hydrops are considered to be consequences of hypertension in the recipient. No other organs were affected. Pathological signs of intrauterine hypertension were estimated by the thickness of vessel walls and signs of hypertrophied myocardial cells. In the heart of the recipient fetus there was a chronic myocardial infarction near the apex cordis on the anterior wall with an aneurysm 4 × 5 mm in diameter. Diagnosis was based on light microscopic examination. The poor myocardial systolic function resulted in hydrops. Since the mother was administered β sympathomimetics in therapeutic doses the contribution of the drug to the myocardial infarction is uncertain, but we would like to suggest this as a possible adverse effect in TTTS. The present case is the first reported myocardial infarction in connection with the syndrome.

Original languageEnglish
Pages (from-to)241-243
Number of pages3
JournalPrenatal Diagnosis
Volume22
Issue number3
DOIs
Publication statusPublished - Apr 4 2002

Keywords

  • Hypertension
  • Intrauterine myocardial infarction
  • Twin-to-twin transfusion syndrome (TTTS)
  • β sympathomimetics

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Genetics(clinical)

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