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Intra-arterial calcifications in the recipient twin in twin-to-twin transfusion syndrome

Published online by Cambridge University Press:  11 November 2016

Syed Javed H. Zaidi*
Affiliation:
Advocate Children’s Hospital, Oak Lawn, Illinois, United States of America
Rupali Gandhi
Affiliation:
Advocate Children’s Hospital, Oak Lawn, Illinois, United States of America
Saad Siddiqui
Affiliation:
Advocate Children’s Hospital, Oak Lawn, Illinois, United States of America
*
Correspondence to: S. J. H. Zaidi, Advocate Children’s Hospital, 4440 W95th St, Oak Lawn, IL 60453, United States of America. Tel: 708 684 5580; Fax: 708 684 4068; E-mail: javedhzaidi@yahoo.com

Abstract

Pulmonary artery, and rarely aortic, calcifications have been reported in sporadic case reports in the recipient twin of twin-to-twin transfusion syndrome. This presentation is more likely to be secondary to the haemodynamic alterations in the recipient twin, but must be differentiated from idiopathic infantile arterial calcification as the clinical implications, treatment, and prognosis may be drastically different.

Type
Brief Report
Copyright
© Cambridge University Press 2016 

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References

1. Lougheed, J, Sinclair, BG, Fung, KFK, et al. Acquired right ventricular outflow tract obstruction in the recipient twin in twin-twin transfusion syndrome. J Am Coll Cardiol 2001; 38: 15331538.Google Scholar
2. 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.Google Scholar
3. 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; 13: 597611.Google Scholar
4. Cha, S, Kim, GB, Kwon, BS, Bae, EJ, Noh, CI, Kim, WH. A case of isolated bilateral pulmonary arterial calcification diagnosed in utero. J Perinatol 2013; 33: 397400.Google Scholar
5. 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
6. Murakoshi, T, Yamamori, K, Tojo, Y, et al. Pulmonary stenosis in recipient twins in twin-to-twin transfusion syndrome: report on 3 cases and review of literature. Croat Med J 2000; 41: 252256.Google Scholar
7. Bassil Eter, R, Dulac, Y, Acar, P. Pulmonary diffuse arterial calcifications: a very rare complication in the recipient of a twin-to-twin transfusion syndrome. Cardiol Young 2009; 19: 410412.CrossRefGoogle ScholarPubMed
8. 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.Google Scholar
9. Rutsch, F, Ruf, N, Vaingankar, S, et al. Mutations in ENPP1 are associated with “idiopathic” infantile arterial calcification. Nat Genet 2003; 34: 379381.Google Scholar
10. Yetkin, U, Bal, F, Bayata, S, Gürbüz, A. Severely calcified valvular aortic stenosis firstly diagnosed in monozygotic male twins with suspected Williams-Beuren syndrome. Jpn Heart J 2004; 45: 877883.Google Scholar