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The Holoacardius: A Correlative Computerized Tomographic, Radiologic, and Ultrasonographic Investigation of a New Case with Review of Literature

Published online by Cambridge University Press:  01 August 2014

K.P. Bhatnagar ,
S.C. Sharma  and
J. Bisker
K.P. Bhatnagar*
Affiliation:
Departments of Anatomy, Radiation Oncology, and Diagnostic Radiology, University of Louisville, School of Medicine, Kentucky
S.C. Sharma
Affiliation:
Departments of Anatomy, Radiation Oncology, and Diagnostic Radiology, University of Louisville, School of Medicine, Kentucky
J. Bisker
Affiliation:
Departments of Anatomy, Radiation Oncology, and Diagnostic Radiology, University of Louisville, School of Medicine, Kentucky
*
Department of Anatomy, University of Louisville School of Medicine, Louisville, KY 40292, USA

Abstract

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A holoacardius from a monozygotic, monochorionic twin pregnancy of 36 weeks is described. Trisomy-18 was diagnosed in the viable female cotwin. Computerized tomographic, radiologic, and ultrasonographic procedures were applied to the acardiac. Its three-vessel umbilical cord was velamentously attached to the single placenta. Grossly malformed and poorly developed craniofacial structures, absence of neck and upper extremities, sirenomelic lower extremity, absence of heart, and development of only a few skeletal elements were prominent features. A review of selected world literature emphasizes the limits of the estimates dealing with the total number of reported cases and the incidence of acardii.

Keywords

AcardiusComputerized tomographyMonozygotic twin pregnancyUltrasound
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 35 , Issue 1-2 , April 1986 , pp. 77 - 89
Copyright
Copyright © The International Society for Twin Studies 1986

References

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