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- W3205583953 abstract "The pathology of Twin–twin transfusion syndrome (TTTS) is hemodynamic changes in monochorionic fetuses through placental vascular anastomoses. Some cases have been reported that hypervolemic of the recipient twin lead to complete right heart flow reversal and a circular shunt. However, the functions of ventricular and valves recovered spontaneously. We describe the case of a recipient twin before fetoscopic laser coagulation (FLP) and another cases of a donor twin after FLP become the circular shunt and spontaneous normalisation afterwards. Case 1 was a recipient twin in TTTS stage3 had a severe tricuspid regurgitation at 17+5 weeks. Next day, retrograde blood flow through the pulmonary artery was shown. Two days later, anatomic pulmonary stenosis was observed. FLP was performed at 18+0 weeks. After FLP, right heart flow reversal continued and made a circular shunt until 19 weeks. However, there were spontaneous recovery at 21 weeks. Case 2 was a donor twin that had FLP at 19+5 weeks for TTTS stage3. The fetus had a severe tricuspid regurgitation at 20+6 weeks, eighth postoperative days. Next day, retrograde blood flow through the pulmonary artery and a circular shunt were shown. However, they were normalised spontaneously after three days. Both of cases followed the same course in these Doppler waveforms on a daily basis. Their hypervolemic might lead to the circular shunt. These findings suggest that the recipient twin before FLP and the donor twin after FLP sometimes have a same hemodynamics and each can lead to complete right heart flow reversal and circular shunt." @default.
- W3205583953 created "2021-10-25" @default.
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- W3205583953 date "2021-10-01" @default.
- W3205583953 modified "2023-09-26" @default.
- W3205583953 title "VP39.03: Spontaneous resolution of transient right heart circular shunt in Twin–twin transfusion syndrome: a case of recipient before and another case of donor after laser surgery" @default.
- W3205583953 doi "https://doi.org/10.1002/uog.24587" @default.
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