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Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye
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Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye

Published on: September 5, 2011

3D color Doppler of monoamniotic twin cord entanglement

Tomoyuki Kuwata1, Shigeki Matsubara, Mitsuaki Suzuki

  • 1Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Shimotsuke, Tochigi, 329-0498, Japan.

Archives of Gynecology and Obstetrics
|December 4, 2009
PubMed

Cord entanglement is a leading cause of mortality of monochorionic monoamniotic twins. Few studies focused on entanglement features/structure itself. Three-dimensional color Doppler ultrasound was conducted to evaluate the cord entanglement in monoamniotic twins at 30 weeks of gestation. Ultrasound revealed detailed features: the two cords were entangled at several points with a chain-like appearance and this complicated structure led us to closely monitor fetal well-being. Seven days later, non-reassuring fetal heart rate pattern was observed, and cesarean section was performed at 30 6/7 pregnancy week, yielding female infants without neurological sequelae. Three-dimensional color Doppler clearly delineated the features of entanglement, and thus was useful for evaluating cord entanglement in monoamniotic twins.

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