Saratov JOURNAL of Medical and Scientific Research

Twin-to-twin transfusion syndrome: A clinical case

Year: 2019, volume 15 Issue: №2 Pages: 236-240
Heading: Pediatrics Article type: Case report
Authors: Nechaev V.N., Chernenkov Yu.V.
Organization: Saratov State Medical University

At the heart of the development of twin-to-twin transfusion syndrome (TTTS) is the presence of pathological anastomoses in the placental vascular network. The article presents a clinical case of TTTS development in monochorionic twins with placental vessel abnormality with a diagnostic search and a plan of further management.

1 Bulatov VP, Cherezova IN, Makarova TP, et al. He-matology in childhood. Rostov n / D: Phoenix, 2006; p. 113-70
2 Volkova MA. Clinical Hematology. Moscow, 2001; р. 122-41
3 Shabalov NP, Zvelev YuV, eds. The Basis of Peri-natology. Moscow: MEDpress-inform, 2002; p. 24-158
4 Volodin NN, Chernyshov VN, Degtyarev DN, et al. Neonatology. Moscow: Academy, 2005; р. 350-64
5 Volodin NN, ed. Neonatology (national guidelines). Moscow: GEOTAR-Media, 2013; 896 р.
6 Alarcon P, Werner E, Christensen RD. Neonatal He-matology Pathogenesis, Diagnosis and Management of Hemato-logic Problems. 2nd edition. Cambridge University Press, 2013; р. 186-257
7 Mitsiakos G, Giougi E. Haemostatic profle of healthy premature small for gestational age neonates. Thrombosis Re-seach 2010; 126: 103-6
8 Shabalov N P. Neonatology. 5th edition: in 2 volumes. Moscow: MEDpress-inform, 2009; vol. 2, 1504 p.
9 Monagle P, Massicotte P. Developmental haemostasis: Secondari haemostasis. Seminars in Fetal and Neonatal Medicine 2011; 16: 294-311
10 Shabalov NI, Ivanov DO, Shabalova NN. Hemosta-sis in the dynamics of the frst week of life as a refection of the mechanisms of adaptation in the prenatal life of a newborn. Pediatrics 2000; 3: 84-91
11 Ivanov DO, ed. Clinical guidelines (protocols) on neonatology. St. Petersburg: Inform-Navigator, 2016; р. 165-83
12 Mikhelson VA, ed. Intensive Care in Pediatrics. Moscow: GEOTAR-Media, 2003; 468 p.
13 Order of the Ministry of health of the Russian Federation of April 2, 2013 №183n «On approval of the rules of clinical use of donated blood and / or its components». Moscow, 2013
14 Volodin NN. Problems of pharmacotherapy in neo-natology. In: Issues of Modern Pediatrics: Materials of scientific-practical conference of pediatricians of Russia. Moscow, 2003; p. 23-5
15 Gratacos E, Lewi L, Munoz B, et al. A classifcation system for selective intrauterine growth restriction in monochori-onic pregnancies according to umbilical artery Doppler fow in the smaller twin. Ultrasound Obstet Gynecol 2007; 30: 28-34
16 Valsky DV, Eixarch E, Martinez JM, Fatima Crispi F, et al. Selective intrauterine growth restriction in monochorionic twins: pathophysiology, diagnostic approach and management dilemmas. Semin Fetal Neonatal Med2010; 15: 342-8
17 Mikhailov AV, Romanovsky AN, Potanin SA, et al. Feto-fetal transfusion syndrome: a training manual. St. Petersburg: Northwestern State Medical University n. a. I. I. Mech-nikov, 2017; 48 p.
18 Halvorsen CP, Mohlkert LA, Norman MА, Sonesson SE. Childhood cardiac outcome after intrauterine laser treatment of twin-twin transfusion syndrome is favorable. Acta Paediatr 2015; 104: 252-8
19 Johnson A & Moise KJ. Improving Survival in Twin-Twin Transfusion Syndrome. Contemporary OB / GYN 2009 December: 126-47
20 Berger H, de Waard F, Molenaar Y. A case of twin-to-twin transfusion syndrome. Lancet 2011; 356 (9232): 847-68.

2019_02_236-240.pdf284.04 KB

No votes yet