Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0034063 (pulmonary edema)
 10,665 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Mirror syndrome is a condition in which the mother "mirrors" her hydropic fetus and/or hydropic placenta. Physical and laboratory findings of mirror syndrome include generalized edema, hypertension, and proteinuria similar to preeclampsia. However, unlike preeclampsia, mirror syndrome is associated with hemodilutional anemia and fluid overload, which may progress to pulmonary edema. The anesthetic management of a parturient with fetal sacrococcygeal teratoma, hydrops fetalis, and mirror syndrome complicated by markedly elevated maternal serum human chorionic gonadotropin and subsequent clinical hyperthyroidism, is presented.
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PMID:Anesthetic management of a parturient with fetal sacrococcygeal teratoma and mirror syndrome complicated by elevated hCG and subsequent hyperthyroidism. 2000 61

Mirror syndrome is a rare obstetric condition where a mother "mirrors" the edema of her hydropic fetus and placenta. We present the successful resolution of mirror syndrome following fetoscopic laser photocoag- ulation for twin to twin transfusion syndrome (TTTS). A 36-year-old woman was pregnant with monocho- rionic twins. She was diagnosed with TTTS at the 23rd week of pregnancy and transported to our hospi- tal by ambulance for treatment Her human chorionic gonadotropin serum concentration was 144,437 IU - ml'. Fetoscopic laser photocoagulation was performed under local anesthesia with dexmedetomidine. How- ever, her restlessness disturbed the procedure and conversion to general anesthesia was required, which facilitated successful completion of the surgical proce- dure. Postoperatively, her vital signs were stable, and after 30 min, the saturation decreased to 80%. She was intubated, sedated with propofol, and transported to the intensive care unit A transthoracic ultrasound examination showed no cardiomyopathy. A chest X-ray suggested pulmonary edema. Pulmonary edema disap- peared immediately, and she was extubated after 36 hr. Postoperatively, the twins had a good prognosis. There are several reports of mirror syndrome after fetoscopic laser photocoagulation for TTTS. Recovery from mirror syndrome can improve following the reso- lution of fetal hydrops in TTTS using fetoscopic laser photocoagulation.
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PMID:[A Case Report of Mirror Syndrome after Fetoscopic Laser Photocoagulation for Twin to Twin Transfusion Syndrome]. 3038 Feb 26