Overview and Long-term Outcomes of Patients Born With Twin-to-Twin Transfusion Syndrome.
Twin-to-twin transfusion syndrome (TTTS) results from a disproportionate blood supply between two (or more) fetuses that share a single placenta. Multiple complications can occur as a result of the syndrome, including intrauterine growth restriction in the donor twin, cardiomyopathies in recipients, and neurodevelopmental morbidities in survivors. Studies indicate that patients with TTTS have higher incidences of congenital heart disease compared with the unaffected population, and even when compared with uncomplicated monochorionic diamniotic twins. If managed properly, TTTS can result in a positive outcome for most patients.
Department of Obstetrics and Gynecology, Penn State Milton S. Hershey Medical Center Hershey, PA.
Stephen
S
Wagner
Department of Obstetrics and Gynecology, Penn State Milton S. Hershey Medical Center Hershey, PA.
John T
JT
Repke
Department of Obstetrics and Gynecology, Penn State Milton S. Hershey Medical Center Hershey, PA.
Serdar H
SH
Ural
Amnioreduction; Fetoscopic laser surgery; Monochorionic diamniotic pregnancy; Twin-to-twin transfusion syndrome