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. 2015 Dec 16;15:951. doi: 10.1186/s12885-015-1976-4

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© Framarino-dei-Malatesta et al. 2015

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — Panel a: Sonogram showing a significantly elevated DV-PIV in twin A. Panel b: Echocardiogram of twin B. Four chamber view. PW Doppler of flow through tricuspidal valve. Monofasic diastolic filling of the right ventricle; hallmark of diastolic function. Panel c: Myocardial severe interstitial edema with fiber dissociation and sporadic vacuolar myocyte degeneration of the twin A fetal heart. Panel d: Hypertrophic vacuolization and nuclear pleomorphism of extravillous throphoblast, with interstitial edema and areas of fibrinoid necrosis of placenta (✷). Panel e: Neonatal echocardiography of twin B. M-mode long axis of the left ventricle. Evidence of mild septal hypokinesia with an overall preserved global contractility