Endoscopic Ligation of Umbilical Cord at 19 Week’s Gestation in Monoamniotic Monochorionic Twins Discordant for Hypoplastic Left Heart Syndrome
- 15 December 2000
- journal article
- case report
- Published by S. Karger AG in Fetal Diagnosis and Therapy
- Vol. 16 (1) , 61-64
- https://doi.org/10.1159/000053883
Abstract
We report the first attempt of reduction of monoamniotic twins, discordant for hypoplastic left heart syndrome, using a new fetoscopic technique. Employing sonographic guidance and endoscopic visualization, cord ligation was accomplished, but significant cord entanglement, not previously appreciated, resulted in the ligation of the umbilical cord of the normal fetus. Cord entanglement may frustrate endoscopic techniques in monoamniotic twins.Keywords
This publication has 1 reference indexed in Scilit:
- Umbilical cord coagulation by operative microendoscopy at 16 weeks' gestation in an acardiac twinUltrasound in Obstetrics & Gynecology, 1997