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  • Title: [Acardius in twin pregnancy].
    Author: Kunz J, Arnaboldi M.
    Journal: Z Geburtshilfe Perinatol; 1991; 195(6):275-9. PubMed ID: 1776319.
    Abstract:
    The acardius is a rare but severe congenital anomaly. It occurs only in the context of multiple pregnancies and vascular anastomosis between the involved fetus and a multiple in cases of monochorionic placenta. The prenatal diagnosis of an acardius always has to be presumed in a multiple pregnancy within which a twin pair grow whenever cardiac activity can not be proved echographically. We present an acardius in a spontaneous twin pregnancy and discuss--based upon literature research--pathogenetic mechanisms, pathologic-anatomic and echographic conditions as well as therapeutic approaches in favor of the healthy multiple.
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