Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-27T12:08:21.906Z Has data issue: false hasContentIssue false

Pulmonary diffuse arterial calcifications: a very rare complication in the recipient of a twin-to-twin transfusion syndrome

Published online by Cambridge University Press:  01 August 2009

Rania Bassil Eter
Affiliation:
Department of Pediatric Cardiology, Children’s Hospital, Toulouse, France
Yves Dulac*
Affiliation:
Department of Pediatric Cardiology, Children’s Hospital, Toulouse, France
Philippe Acar
Affiliation:
Department of Pediatric Cardiology, Children’s Hospital, Toulouse, France
*
Correspondence to: Dr Yves Dulac, Cardiologie Pédiatrique, Hôpital des Enfants, 330 av de Grande-Bretagne, 31000 Toulouse, France. Tel: +33 5 34 55 85 96; Fax: +33 5 34 55 86 63; E-mail: dulac.y@chu-toulouse.fr

Abstract

The syndrome of twin-to-twin transfusion is known potentially to be associated with the development of right ventricular obstruction, albeit rarely at supravalvar levels, in the recipient twin. We report the case of a recipient twin with diffuse hypoplasia and calcification of the pulmonary arterial tree, confirmed by postnatal thoracic angioscan. When aged 2 years, the child was moderately symptomatic with mild cyanosis, in spite of suprasystemic right ventricular systolic pressure as revealed by follow-up echocardiography.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Burke, MS. Single fetal demise in twin gestation. Clin Obstet Gynecol 1990; 33: 6978.CrossRefGoogle ScholarPubMed
2.Mahieu-Caputo, D, Salomon, LJ, Le Bidois, J, et al. Fetal hypertension: an insight into the pathogenesis of the twin-twin transfusion syndrome. Prenat Diagn 2003; 23: 640645.CrossRefGoogle ScholarPubMed
3.Nizard, J, Bonnet, D, Fermont, L, Ville, Y. Acquired right heart outflow tract anomaly without systemic hypertension in recipient twins in twin-twin transfusion syndrome. Ultrasound Obstet Gynecol 2001; 18: 669672.CrossRefGoogle ScholarPubMed
4.Zosmer, N, Bajoria, R, Weiner, E, Rigby, M, Vaughan, J, Fisk, NM. Clinical and echographic features of in utero cardiac dysfunction in the recipient twin in twin-twin transfusion syndrome. Br Heart J 1994; 72: 7479.CrossRefGoogle ScholarPubMed
5.Lougheed, J, Sinclair, BG, Fung Kee Fung, K, et al. Acquired right ventricular outflow tract obstruction in the recipient twin in twin-twin transfusion syndrome. J Am Coll Cardiol 2001; 38: 15331538.CrossRefGoogle ScholarPubMed
6.Saxena, A, Soni, NR. Pulmonary artery calcification in recipient twins of twin to twin transfusion syndrome: a report of three cases. Pediatr Cardiol 2003; 24: 8083.CrossRefGoogle ScholarPubMed
7.Popek, EJ, Strain, JD, Neumann, A, Wilson, H. In utero development of pulmonary artery calcification in monochorionic twins: a report of three cases and discussion of the possible etiology. Pediatr Pathol 1993; 5: 597611.CrossRefGoogle Scholar
8.Nicosia, RF, Krouse, TB, Mobini, J. Congenital aortic intimal thickening: its occurrence in a case of twin-transfusion syndrome. Arch Pathol Lab Med 1981; 105: 247249.Google Scholar
9.Bajoria, R, Sullivan, M, Fisk, NM. Endothelin concentrations in monochorionic twins with severe twin-twin transfusion syndrome. Hum Reprod 1999; 14: 16141618.CrossRefGoogle ScholarPubMed
10.Lopriore, E, Bökenkamp, R, Rijlaarsdam, M, Sueters, M, Vandenbussche, FP, Walther, FJ. Congenital heart disease in twin-to-twin transfusion syndrome treated with fetoscopic laser surgery. Congenit Heart Dis 2007; 2: 3843.CrossRefGoogle ScholarPubMed