Abstract
Twin gestations are associated with increased numbers of congenital abnormalities. In monochorionic twins, death of one twin may lead to disruptive vascular anomalies in the survivor. A case of isolated critical aortic stenosis with a tricuspid valve was associated with a 9.5-cm monozygous fetus papyraceus. Hemodynamic alterations are known to be etiologic in a number of congenital malformations including many in the heart. The aortic stenosis in this case could have been caused by the circulatory changes associated with the death of its twin. Lesions of vascular disruptive etiology, as is hypothesized in this instance, are of low recurrence risk.
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References
Anderson RC (1976) Fetal and infant death, twinning, and cardiac malformations in familes of 2,000 children with and 500 without cardiac defects. Am J Cardiol 38:218–224
Anderson RC (1977) Congenital cardiac malformations in 109 sets of twins and triplets. Am J Cardiol 39:1045–1050
Becker AE, Anderson RH (1981) The pathology of congenital heart disease. Butterworths, Boston, pp 179–183
Benirschke K, Driscoll SG (1967) Pathology of the human placenta. Springer, Berlin Heidelberg New York, pp 202–207
Bergsma D (1979) Birth defects compendium. A.R. Liss, New York, pp 112–114
Gilani SH, Silvestri A (1977) The effect of propranolol upon chick embryo cardiogenesis. Exp Cell Biol 43:158–166
Hoyme HE, Higginbottom MC, Jones KL (1981) Vascular etiology of disruptive structural defects in monozygotic twins. Pediatrics 67:288–291
Jaffee OC (1977) In: Handbook of teratology. Wilson JG, Fraser FC (eds) Plenum, New York, vol 2, Chap 14, pp 343–363
Kaplan C, Benirschke K (1979) The acardiac anomaly: new case reports and current status. Acta Genet Med Gemellel 28:51–59
Livingston JE, Poland BJ (1980) A study of spontaneously aborted twins. Teratology 21:139–148
Maron BJ, Hutchins GM (1974) The development of the semilunar valves in the human heart. Am J Pathol 74:331–344
Moore GW, Hutchins GM, Brito JC, Kang H (1980) Congenital malformations of the semilunar valves. Human Path 11:367–372
Nora JJ et al. (1967) Congenital heart disease in twins. N Engl J Med 277:568–571
Schinzel A, Smith DW, Miller JR (1979) Monozygotic twinning and structural defects. J Pediatr 95:921–930
Seides JF, Sheman RJ, Morrow AG (1979) Congenital cardiac abnormalities in monozygotic twins: report and review of the literature. Brit Heart J 42:742–745
Smith DW (1982) Recognizable patterns of human malformation. Saunders, Philadelphia, pp 504–516
Van Allen MI (1981) Fetal vascular disrutions: mechanisms and some resulting birth defects. Pediatr Ann 10:219–233
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© 1984 Springer-Verlag Berlin · Heidelberg
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Kaplan, C. (1984). Isolated Aortic Stenosis with Fetus Papyraceus: a New Vascular Disruptive Anomaly. In: Ryder, O.A., Byrd, M.L. (eds) One Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-61749-2_8
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DOI: https://doi.org/10.1007/978-3-642-61749-2_8
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-61751-5
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