Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-27T23:39:09.137Z Has data issue: false hasContentIssue false
  • English
  • Français

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]
Get access Rights & Permissions [Opens in a new window]

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
Check for updates
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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