{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:35:26Z","timestamp":1760204126384,"version":"3.40.4"},"reference-count":7,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2005,12,15]],"date-time":"2005-12-15T00:00:00Z","timestamp":1134604800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2005,12,15]],"date-time":"2005-12-15T00:00:00Z","timestamp":1134604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fetal Diagn Ther"],"published-print":{"date-parts":[[2006]]},"abstract":"<jats:p>In a case of cephalothoracopagus, the umbilical artery (UA) was observed with color Doppler method, and the findings were compared with the hemodynamics of 46 normal fetuses. The patient was a 25-year-old primigravida who had appeared for routine prenatal visits since her 6th week of pregnancy. At a later time, the patient was examined after an interval of 4 weeks. Although an ultrasonography was also conducted, unfortunately, any findings of cephalothoracopagus were not detected. In the 25th week of gestation, we hospitalized her for marked polyhydramnios (amniotic fluid index: 280 mm), at which time an ultrasound examination revealed cephalothoracopagus. In the UA, the V&lt;sub&gt;max&lt;\/sub&gt; was 30.3 cm\/s (normal fetus at 25\u201328 weeks: 33.5 \u00b1 3.9 cm\/s). The UA hemodynamics fell below the normal range. At 26 weeks, the UA V&lt;sub&gt;max&lt;\/sub&gt; was 56.5 cm\/sec, a level which significantly exceeded the normal range. The patient underwent a cesarean section at 27 weeks of gestation; the indication was fetal distress. This is caused by the condition in which the fetal heart beats decreases to 90 beats per minute 3 times during a 10-min period as measured on the cardiotocograms. She delivered a 1,392-gram female with an Apgar score of 2 points (respiratory 1 point and heart rate 1 point). The infant was a cephalothoracopagus, with one head, two hearts, four upper limbs, and four lower limbs. The neonate died from circulatory failure 56 min after birth.<\/jats:p>","DOI":"10.1159\/000089049","type":"journal-article","created":{"date-parts":[[2005,12,12]],"date-time":"2005-12-12T09:50:23Z","timestamp":1134381023000},"page":"61-64","source":"Crossref","is-referenced-by-count":4,"title":["Hemodynamic Analysis of Cephalothoracopagus by the Color Doppler Method"],"prefix":"10.1159","volume":"21","author":[{"given":"Toshihiko","family":"Iura","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Makinoda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chihaya","family":"Sasakura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natsuko","family":"Hirosaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirokazu","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoo","family":"Waseda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukio","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2005,12,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002%2Ftera.1420250306"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.2002.02193.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007%2Fs100249900022"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002%2Ftera.1420290206"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016%2FS0029-7844%2800%2900837-1"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016%2FS0029-7844%2802%2902388-8"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1469-0705.2000.00263.x"}],"container-title":["Fetal Diagnosis and Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/89049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/89049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:36:10Z","timestamp":1745465770000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000089049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,12,15]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2005,12,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000089049","archive":["Portico"],"relation":{},"ISSN":["1015-3837","1421-9964"],"issn-type":[{"type":"print","value":"1015-3837"},{"type":"electronic","value":"1421-9964"}],"subject":[],"published":{"date-parts":[[2005,12,15]]}}}