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Master Thesis

Études des fonctions cardiaques et rénale des nouveaux nés dont la période fœtale à été compliquée du syndrome transfuseur transfuse

Abstract : Objective: to describe neonatal complications of cardiac and renal function of newborns of monochorionic biamniotic pregnancies complicated by twin-twin transfusion syndrome (TTTS). The sub-objectives are : to establish the prevalence of these cardiac and renal complications and to link the nature of these complications to the donor or recipient status. Method: a descriptive study with a retrospective quantitative approach on 59 newborns from biamniotic monochorionic twin pregnancies complicated with TTTS between 2015 and 2020. Results: neonatal complications of cardiac function in this series were pulmonary artery stenosis, cardiomegaly, ventricular hypertrophy and hypokinesia, tricuspid valve regurgitation, and pulmonary hypertension. The prevalence of these complications in this series of 59 patients was 18.6%. The renal complications were : oliguria or anuria and transient renal failure. The prevalence of these complications in this series was 15.3%. Conclusion: the concordance with the description of the pathophysiological mechanisms of the syndrome suggests that the cardiac complications described are related to recipient status, justifying enhanced monitoring of cardiac function in the postnatal period. However, the link between the occurrence of renal complications and donor status, as suggested by the pathophysiology, was not demonstrated in this study.
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https://dumas.ccsd.cnrs.fr/dumas-03385749
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Submitted on : Tuesday, October 19, 2021 - 3:40:11 PM
Last modification on : Thursday, October 21, 2021 - 4:39:22 AM
Long-term archiving on: : Thursday, January 20, 2022 - 7:27:42 PM

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  • HAL Id : dumas-03385749, version 1

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Séléna Tir. Études des fonctions cardiaques et rénale des nouveaux nés dont la période fœtale à été compliquée du syndrome transfuseur transfuse. Gynécologie et obstétrique. 2021. ⟨dumas-03385749⟩

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