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Right ventricular failure with high echoic ventricular wall change after foetoscopic laser photocoagulation: a case report of a donor in twin-to-twin transfusion syndrome

Published online by Cambridge University Press:  19 December 2014

Eri Mineo ,
Takashi Honda  and
Masahiro Ishii
Eri Mineo
Affiliation:
Department of Pediatrics, Kitasato University School of Medicine, Kanagawa, Japan
Takashi Honda*
Affiliation:
Department of Pediatrics, Kitasato University School of Medicine, Kanagawa, Japan
Masahiro Ishii
Affiliation:
Department of Pediatrics, Kitasato University School of Medicine, Kanagawa, Japan
*
Correspondence to: T. Honda, Department of Pediatrics, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0329, Japan. Tel: +81 42 778 8829; Fax: +81 42 778 8441; E-mail: [email protected]
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Abstract

The introduction of foetoscopic laser photocoagulation has dramatically improved the prognosis of patients with severe twin-to-twin transfusion syndrome. We present the case of a donor who exhibited right-heart failure with a high echoic wall change of the right ventricle after the foetoscopic laser photocoagulation procedure. The prenatal and 1-year postnatal follow-up revealed the gradual recovery of the right ventricular function.

Keywords

Twin-to-twin transfusion syndromefoetoscopic laser photocoagulationdonorright ventricular failure
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 1 , January 2016 , pp. 155 - 157
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Copyright
© Cambridge University Press 2014 

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References

1. Duncan, KR, Denbow, ML, Fisk, NM. The aetiology and management of twin-twin transfusion syndrome. Prenat Diagn 1997; 17: 1227–1236.Google Scholar
2. Haverkamp, F, Lex, C, Hanisch, C, Fahnenstich, H, Zerres, K. Neurodevelopmental risks in twin-to-twin transfusion syndrome: preliminary findings. Eur J Paediatr Neurol 2001; 5: 21–27.Google Scholar
3. Sago, H, Hayashi, S, Saito, M, et al. The outcome and prognostic factors of twin-twin transfusion syndrome following fetoscopic laser surgery. Prenat Diagn 2010; 30: 1185–1191.CrossRefGoogle ScholarPubMed
4. Senat, MV, Deprest, J, Boulvain, M, Paupe, A, Winer, N, Ville, Y. Endoscopic laser surgery versus serial amnioreduction for severe twin-to-twin transfusion syndrome. N Engl J Med 2004; 351: 136–144.Google Scholar
5. Quintero, RA, Dickinson, JE, Morales, WJ, et al. Stage-based treatment of twin-twin transfusion syndrome. Am J Obstet Gynecol 2003; 188: 1333–1340.Google Scholar
6. Zosmer, N, Bajoria, R, Weiner, E, Rigby, M, Vaughan, J, Fisk, NM. Clinical and echographic features of in utero cardiac dysfunction in the recipient twin in twin-twin transfusion syndrome. Br Heart J 1994; 72: 74–79.Google Scholar
7. van den Boom, J, Battin, M, Hornung, T. Twin-twin transfusion syndrome, coarctation of the aorta and hypoplastic aortic arch: a case series report. J Paediatr Child Health 2010; 46: 76–79.Google Scholar
8. Rudolph, AM. Distribution and regulation of blood flow in the fetal and neonatal lamb. Circ Res 1985; 57: 811–821.Google Scholar
9. Gratacos, E, Van Schoubroeck, D, Carreras, E, et al. Impact of laser coagulation in severe twin-twin transfusion syndrome on fetal Doppler indices and venous blood flow volume. Ultrasound Obstet Gynecol 2002; 20: 125–130.Google Scholar
10. Mahieu-Caputo, D, Dommergues, M, Delezoide, AL, et al. Twin-to-twin transfusion syndrome. Role of the fetal renin–angiotensin system. Am J Pathol 2000; 156: 629–636.Google Scholar