True cor biloculare in identical twins

Giustra, Frank X.; Tosti, Vincent G.

doi:10.1016/s0002-8703(39)90495-3

Cited by 27 publications

(5 citation statements)

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“…Of these, one pair of twins, arising from a consanguineous marriage, had PTA in association with major skeletal anomalies (sirenomelia in one, phocomelia and other limb anomalies in the other) [Raghavan et al, 1983]. Other authors have reported monozygotic twins with PTA and major cardiovascular anomalies (single ventricle, single atrioventricular valve, single atrium) [Giustra and Tosti, 1939]. We found a single report in which the twins were monozygotic and had isolated PTA [Benesová and Sikl, 1954].…”

Section: Introductionmentioning

confidence: 65%

Persistent truncus arteriosus in monozygotic twins: Case report and literature review

1999

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We report on a pair of monozygotic twins with persistent truncus arteriosus. They had no evident clinical signs of DiGeorge syndrome. Pathologic examination of the placenta and DNA analysis in chromosomes 7, 8, and 15 was consistent with monozygosity. Fluorescence in situ hybridization test was negative for chromosome 22q11 microdeletion. Family history revealed a female cousin with tetralogy of Fallot. The isolated presence of this conotruncal abnormality in monozygotic twins is extremely rare. The genetic considerations are discussed.

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Section: Introductionmentioning

confidence: 65%

Persistent truncus arteriosus in monozygotic twins: Case report and literature review

1999

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“…Both had other abnormalities, one a mirror image of the other. Giustra (1939) found a case of cor biloculare in both twins.…”

Section: Discussionmentioning

confidence: 95%

Congenital malformation of the heart in one of identical twins

McClintock¹

1945

Archives of Disease in Childhood

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On June 12, 1944, Mrs. F. was delivered in her home of female twins. I had supervised her antenatally in this her second pregnancy, but the confinement was attended by the midwife only. There w-as a history of uniovular twins in both the patient's family and that of her husband. The pregnancy was normal except that at the third month she had a mild vaginal haemorrhage which was treated as a threatened abortion. Twins were suspected from this time owing to the size of the uterus, and confirmed later by x-ray examination.She became Xery distended in late pregnancy.The first stage of labour was long. The first child was delivered as an occipito posterior, weighing 52 lb. The second child followed in five minutes and weighed 4-lb. The single placenta followed; there was a small placenta succenturiata. The two cords were equal in size and attached to the main placenta.The infants both appeared normal and breathed spontaneously, remaining a good colour. They were breast-fed six-hourly the first day for five minutes. four-hourly the second day, and threehourly the third. Sterile water was given between feeds if required. Both sucked well at first, but at the end of the second day the smaller twin was noticed to be pale and she refused her feeds. The third morning she had two attacks of vomiting, with cyanosis of her lips only.I saw her the third morning. Her breathing was shallow. xwith periods of apnoea. Her hands and feet were nexer cyanosed, her lips and face only at interx als. The chest moved poorly and breath sounds were almost entirely absent. The heart did not appear to be enlarged. There was a harsh systolic murmur over the base of the heart and tricuspid area. It was loudest in the second left interspace. The apical sounds were clear. The diagnosis of atelectasis with patent ductus arteriosus was made. The infant was given oxygen and twohourly breast feeds from a pipette. She did not want her feeds and x omited some of them. The cyanotic attacks continued but were somewhat relieved by oxygen. She died early on the fourth day during an attack.

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“…The concordance rate for congenital heart disease in twins is low, probably less than 10% (Anderson 1977), and twins concordant for TA appear to have been reported only three times before. Giustra & Tosti (1939) reported "identical" twin males, each of whom had cor biloculare with TA. Raghavan et al (1983) reported monozygotic twins with multiple congenital anomalies (including sirenomelia and elements of VAT-ER association in one, and phocomelia and other limb anomalies in the other) which included TA.…”

Section: Discussionmentioning

confidence: 99%

“…Twins concordant for TA have been reported only three times previously. In two cases (Giustra & Tosti 1939, Raghavan et al 1983, TA was associated with more complex cardiac malformations or with multiple congenital anomalies. Concordance for isolated TA appears to have been described only once previously (BeneSovi & Sikl 1954), in a monochorionic, "homologous" twin pair.…”

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confidence: 96%