A Case of Severe Neonatal Hypertension in Twin-Twin Transfusion Syndrome.

Park,  Soo Kyoung; Park,  Ji Hyun; Kim,  Sung Mi; Jung,  Jin Hwa; Kim,  Kil Hyun; Park,  Jung Sil

Case Report

Journal of the Korean Society of Neonatology 2005;12(1):93-99.
Published online May 1, 2005.

A Case of Severe Neonatal Hypertension in Twin-Twin Transfusion Syndrome.

Soo Kyoung Park, Ji Hyun Park, Sung Mi Kim, Jin Hwa Jung, Kil Hyun Kim, Jung Sil Park

¹Department of Pediatrics, Maryknoll hospital, Busan, Korea. ksm7090@hanmail.net
²Department of Obstetrics, Maryknoll hospital, Busan, Korea.

쌍생아 수혈 증후군에서 발생한 중증 신생아 고혈압 1례

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Abstract

Twin-twin transfusion syndrome is attributed to an unbalanced blood flow between the donor and the recipient twin, but the exact pathophysiology remains incompletely understood. Despite active prenatal management, fetal twin-twin transfusion syndrome is still associated with a substantial residual perinatal mortality and morbidity. The donor twin progressively becomes anemic, growth restricted, oliguric and has oligohydramnios, where as the recipient becomes plethoric, polyuric and has polyhydramnios and in the most severe cases develops cardiomegaly, congestive heart failure and hypertension. We report a case of severe systemic hypertension developed in recipient twin.

Key Words: Twin-twin transfusion; Hypertension