Critical coarctation of the aorta in selective fetal growth restriction and the role of coronary stent implantation
- Gijtenbeek, M.
- Haak, M.C.
- Harkel, A.D.J. ten
- Bokenkamp, R.
- Eyskens, B.
- Ortibus, E.
- Meyns, B.
- Gewillig, M.
- Lewi, L.
DOIAbstract
Introduction:Monochorionic twins are at increased risk of congenital heart defects (CHDs). Up to 26% have a birth weight <1,500 g, a CHD requiring neonatal surgery, therefore, poses particular challenges.Objective:The aim of the study was to describe pregnancy characteristics, perinatal management, and outcome of monochorionic twins diagnosed with critical coarctation of the aorta (CoA).Methods:We included monochorionic twins diagnosed with critical CoA (2010-2019) at 2 tertiary referral centers, and we systematically reviewed the literature regarding CoA in monochorionic twins.Results:Seven neonates were included. All were the smaller twin of pregnancies complicated by selective fetal growth restriction. The median gestational age at birth...
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