Endoscopic ligation of umbilical cord at 19 week's gestation in monoamniotic monochorionic twins discordant for hypoplastic left heart syndrome

Bruce K. Young, Hank Roqué, Yaakov Abdelhak, Ilan Timor-Tristch, Andrei Rebarber, Robert Rosen

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

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.

Original languageEnglish
Pages (from-to)61-64
Number of pages4
JournalFetal Diagnosis and Therapy
Volume16
Issue number1
DOIs
StatePublished - 2001
Externally publishedYes

Keywords

  • Cord ligation
  • Fetoscopy
  • Monoamniotic twins

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