Mirror Syndrome after Fetoscopic Laser Treatment - A Case Report.
نویسندگان
چکیده
Mirror syndrome is a rare disease with unknown pathophysiology that can be present in different diseases that can cause fetal hydrops. The prognosis is usually bad with a high perinatal mortality. We report an unusual form of mirror syndrome that manifested itself only after a successful treatment for fetal hydrops (caused by twin-twin transfusion syndrome, in Quinteros stage IV) was performed. This syndrome was controlled by medical treatment, and despite the usually bad prognosis seen in these cases, we could extend the pregnancy from the 23rd to the 34th week of gestation, resulting in the birth of 2 live infants.
منابع مشابه
Mirror Syndrome after Fetoscopic Laser Treatment - A Case Report Síndrome do espelho após tratamento laser por fetoscopia - caso clínico
Mirror syndrome, also called Ballantyne’s or triple edema syndrome, was described in 1982 by John Ballantyne as a combination ofmaternal edema, fetal and placental hydrops. This syndrome is a complication of fetal hydrops inwhich the maternal edema virtuallymirrors the edema of the fetus. The incidence is not clear since it is a rare disease, often underdiagnosed.1–3 Fetal hydrops of any etiolo...
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Fetoscopic laser surgery for severe Twin-Twin Transfusion Syndrome (TTTS) has been conducted since early 1990s in United States and Europe. After the conclusion of Eurofetus in the randomized clinical trial [1], fetoscopic laser surgery has become the standard and optimal treatment for the TTTS condition. Recently, the techniques have been implemented throughout the globe; many institutions hav...
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Pseudoamniotic band syndrome (PABS) is an iatrogenic complication that causes entanglement of fetal parts in a constrictive sheet of detached or ruptured amniotic membrane after an invasive procedure, namely amniocentesis, amnioreduction or septostomy in twins. The incidence and risk factors for PABS after fetoscopy-guided laser have not been documented [Winer et al.: Am J Obstet Gynecol 2008;1...
متن کاملFetoscopic laser therapy for twin-twin transfusion syndrome.
Twin-twin transfusion syndrome (TTTS) complicates approximately 1 in 5 of all monochorionic, diamniotic twin pregnancies. If of early onset and untreated, severe TTTS is associated with a dismal prognosis, with perinatal mortality rates exceeding 90%. The most controversial issue regarding the optimal treatment of TTTS has centered on the use of amniocentesis or laser until the first and only r...
متن کاملSelective Fetoscopic Laser Photocoagulation of Superficial Placental Anastomoses for the Treatment of Severe Twin-Twin Transfusion Syndrome
OBJECTIVE To report our initial institutional experience with fetoscopic laser photocoagulation of placental anastomoses in severe twin-twin transfusion syndrome using a 1.0 mm endoscope. METHODS Between July 2006 and June 2008, 19 monochorionic diamniotic twin pregnancies complicated by severe TTTS (Quintero stages III and IV) underwent fetoscopic laser therapy. Perinatal data were prospecti...
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عنوان ژورنال:
- Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia
دوره 38 11 شماره
صفحات -
تاریخ انتشار 2016