Journal
CLINICS IN PERINATOLOGY
Volume 36, Issue 2, Pages 417-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.clp.2009.03.014
Keywords
Monochorionic; Twins; Relatively undergrown with normal twin; Intrauterine growth retardation; Twin reversed arterial perfusion; Demise
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Monochorionic (MC) twin pregnancies may develop significant complications, and twin-to-twin transfusion syndrome (TTTS) has become among the best known to obstetricians and patients alike. A significant percentage of patients referred for suspected TTTS have a different underlying pathologic condition, however, and differentiating the subcategories of MC pathophysiologic conditions may change treatment course and outcome. The key to understanding complicated MC pregnancies lies in the placental angioarchitecture and intertwin vascular communications between the fetuses.
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