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一例罕见的双胎输血综合征合并受血儿双胎动脉导管过早收缩的病例。

An unusual case of twin anemia polycythemia sequence complicated by premature ductus arteriosus constriction of the recipient twin.

作者信息

Chokshi Ravi, McMullen Kathryn, Soni Shelly, Tunks Robert, O'Brien James

机构信息

Division of Maternal-Fetal Medicine, Penn State University Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA.

Department of Obstetrics & Gynecology, Penn State University Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA.

出版信息

Case Rep Perinat Med. 2024 Oct 21;13(1):20240027. doi: 10.1515/crpm-2024-0027. eCollection 2024 Jan.

DOI:10.1515/crpm-2024-0027
PMID:40321346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12048135/
Abstract

OBJECTIVES

To add to the nascent literature on twin anemia polycythemia sequence by presenting a unique cardiac complication in the recipient twin.

CASE PRESENTATION

We describe a monochorionic diamniotic pregnancy complicated by twin anemia polycythemia sequence wherein the recipient twin developed signs of right heart failure secondary to premature ductus arteriosus constriction, requiring iatrogenic preterm delivery to avoid intrauterine demise.

CONCLUSIONS

This case report introduces a previously undescribed complication of twin anemia polycythemia sequence and adds to the growing literature on this clinical entity.

摘要

目的

通过呈现受血儿独特的心脏并发症，补充关于双胎输血综合征的新兴文献。

病例报告

我们描述了一例单绒毛膜双羊膜囊妊娠合并双胎输血综合征，其中受血儿因动脉导管过早收缩出现右心衰竭体征，需要医源性早产以避免宫内死亡。

结论

本病例报告介绍了一种此前未被描述的双胎输血综合征并发症，并补充了关于这一临床实体的不断增加的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6860/12048135/c64c579fd52f/j_crpm-2024-0027_fig_003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6860/12048135/9f544f20ba2b/j_crpm-2024-0027_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6860/12048135/3d9a5431e744/j_crpm-2024-0027_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6860/12048135/c64c579fd52f/j_crpm-2024-0027_fig_003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6860/12048135/9f544f20ba2b/j_crpm-2024-0027_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6860/12048135/3d9a5431e744/j_crpm-2024-0027_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6860/12048135/c64c579fd52f/j_crpm-2024-0027_fig_003.jpg

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本文引用的文献

1
Twin Anemia-Polycythemia Sequence (TAPS): From Basic Research to Clinical Practice.双胎贫血-红细胞增多序列（TAPS）：从基础研究到临床实践。
Curr Vasc Pharmacol. 2023;21(2):91-105. doi: 10.2174/1570161121666230131112930.
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Society for Maternal-Fetal Medicine Special Statement: Updated checklists for management of monochorionic twin pregnancy.母胎医学会特别声明：更新的单绒毛膜双胎妊娠管理清单。
Am J Obstet Gynecol. 2020 Nov;223(5):B16-B20. doi: 10.1016/j.ajog.2020.08.066. Epub 2020 Aug 27.
3
Spontaneous twin anemia polycythemia sequence: diagnosis, management, and outcome in an international cohort of 249 cases.
自发性双胎贫血-红细胞增多序列征：249例国际队列研究中的诊断、管理及结局
Am J Obstet Gynecol. 2021 Feb;224(2):213.e1-213.e11. doi: 10.1016/j.ajog.2020.07.041. Epub 2020 Jul 27.
4
Consensus diagnostic criteria and monitoring of twin anemia-polycythemia sequence: Delphi procedure.双胎贫血-多血症序列症的共识诊断标准和监测：德尔菲程序。
Ultrasound Obstet Gynecol. 2020 Sep;56(3):388-394. doi: 10.1002/uog.21882.
5
Twin-Twin Transfusion Syndrome with Anemia-Polycythemia: Prevalence, Characteristics, and Outcome.双胎输血综合征合并贫血-红细胞增多症：患病率、特征及结局
J Clin Med. 2019 Jul 30;8(8):1129. doi: 10.3390/jcm8081129.
6
Recipient Twin Circular Shunt Physiology Before Fetal Laser Surgery: Survival and Risks for Postnatal Right Ventricular Outflow Tract Obstruction.胎儿激光手术前受血儿双环分流生理：出生后右心室流出道梗阻的存活情况及风险
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7
Twin Anemia Polycythemia Sequence: Current Views on Pathogenesis, Diagnostic Criteria, Perinatal Management, and Outcome.双胎贫血-红细胞增多序列征：关于发病机制、诊断标准、围产期管理及结局的当前观点
Twin Res Hum Genet. 2016 Jun;19(3):222-33. doi: 10.1017/thg.2016.18. Epub 2016 Apr 12.
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A case of progressive ductal constriction in a fetus.胎儿进行性管状缩窄 1 例。
Korean Circ J. 2013 Nov;43(11):774-81. doi: 10.4070/kcj.2013.43.11.774. Epub 2013 Nov 30.
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Twin-twin transfusion syndrome.双胎输血综合征。
Am J Obstet Gynecol. 2013 Jan;208(1):3-18. doi: 10.1016/j.ajog.2012.10.880. Epub 2012 Nov 27.
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Twin anemia-polycythemia sequence: diagnostic criteria, classification, perinatal management and outcome.双胎贫血-多血症序列：诊断标准、分类、围产期管理和结局。
Fetal Diagn Ther. 2010;27(4):181-90. doi: 10.1159/000304512. Epub 2010 Mar 26.