A case of twin-to-twin transfusion syndrome (TTTS) was associated with ischemic injury of the left leg of the recipient twin. Five reduction amniocenteses were performed between 17 6/7 and 23 3/7 weeks followed by fetoscopic laser ablation of chorioangiopagus vessels at 23 6/7 weeks of gestation. Anatomic assessment of the affected limb indicated timing of the injury at 19 4/7 weeks gestational age. The published literature suggests that ischemic fetal injuries in severe TTTS are associated with blood hyperviscosity in the affected twin. Copyright (C) 2004 S. Karger AG, Basel.
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Univ Chile, Dept Obstet & Gynecol, Hosp San Juan Dios, Santiago, Chile
San Juan Dios Hosp, Maternal Fetal Med Unit, Santiago, ChileUniv Chile, Dept Obstet & Gynecol, Hosp San Juan Dios, Santiago, Chile
Bustos, Juan Carlos
Vera, Helga
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Univ Chile, Dept Obstet & Gynecol, Hosp San Juan Dios, Santiago, Chile
San Juan Dios Hosp, Maternal Fetal Med Unit, Santiago, ChileUniv Chile, Dept Obstet & Gynecol, Hosp San Juan Dios, Santiago, Chile
Vera, Helga
Ahumada, Paz
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Univ Chile, Dept Obstet & Gynecol, Hosp San Juan Dios, Santiago, Chile
San Juan Dios Hosp, Maternal Fetal Med Unit, Santiago, ChileUniv Chile, Dept Obstet & Gynecol, Hosp San Juan Dios, Santiago, Chile
Ahumada, Paz
Martin, Daniel
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San Juan Dios Hosp, Maternal Fetal Med Unit, Santiago, ChileUniv Chile, Dept Obstet & Gynecol, Hosp San Juan Dios, Santiago, Chile