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Časopis Slovak Gynecology and Obstetrics – Článok Selective intrauterine restriction as a complication of originally ongoing so-called twin-anemia-polycythemia sequence in monochorial biamnial twins

Slovak Gynecology and Obstetrics

Magazine Slovak Association of Gynecology and Obstetrics
Period 4x per year
1335-0862
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Slovak Gynecology and Obstetrics
Slovak Gynecology and Obstetrics
Magazine Slovak Association of Gynecology and Obstetrics
Period 4x per year
Téma: Case studies

Selective intrauterine restriction as a complication of originally ongoing so-called twin-anemia-polycythemia sequence in monochorial biamnial twins

P. Turňová, K. Biringer

Twin anemia-polycythemia sequence is a rare complication of monochorionic pregnancy. We report the case, in which repeated measurements and placental echogenicity difference confirmed the complication. According to the current classification dependent on the measurement of peak systolic velocity in the middle cerebral artery, we diagnosed the first and second stage of the sequence. Later in pregnancy, the difference in peak systolic velocity in the middle cerebral artery decreased with the development of mild donor’s anemia and its intrauterine growth restriction. Spontaneous closure of inter-fetal anastomoses and prior donor’s anemia throughout the pregnancy is a possible causal factor. Growth alteration was probably caused by fetal hypoxia induced by anemia leading to the macroautophagy. The sequence was confirmed by postnatal appearance of the placenta.

Slov. Gynek. Pôrod., 27, 2020, s. 86 – 89

Ročník 2020  Témy časopisu Slovak Gynecology and Obstetrics 2 / 2020

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MUDr. Ľudovít Janek
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prof. MUDr. Miloš Mlynček, CSc.
prof. MUDr. Ján Štencl, CSc.
doc. MUDr. Ivan Hollý, CSc.
doc. MUDr. Miroslav Korbeľ, CSc.
doc. MUDr. Jozef Višňovský, PhD.
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doc. MUDr. Igor Rusňák, PhD.
MUDr. Jozef Adam
MUDr. Tibor Bielik, PhD.

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Period 4x per year
1335-0862
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Slovak Gynecology and Obstetrics
Slovak Gynecology and Obstetrics
Magazine Slovak Association of Gynecology and Obstetrics
Period 4x per year