A double dilemma: treatment of stage IV fetal twin-twin transfusion syndrome in the setting of maternal recurrent venous thromoembolism: a case report
| dc.contributor.author | McCarthy, Claire M. | |
| dc.contributor.author | al-Madhani, Alya | |
| dc.contributor.author | Smyth, Suzanne | |
| dc.contributor.author | Russell, Nóirín E. | |
| dc.contributor.author | Wimalasundera, Ruwan | |
| dc.contributor.author | O'Donoghue, Keelin | |
| dc.date.accessioned | 2019-12-04T09:17:47Z | |
| dc.date.available | 2019-12-04T09:17:47Z | |
| dc.date.issued | 2019-10-24 | |
| dc.description.abstract | Background: Fetal conditions can pose significant challenges in the management of pregnancies complicated by pre-existing maternal medical conditions. Case presentation: We report a case of a 34-year-old woman with Stage IV Twin Twin Transfusion syndrome in the presence of maternal recurrent complex venous thromboembolic disease. Following a previous pregnancy loss, complicated by a third episode of thromboembolic disease, an inferior vena cava filter was placed. One month later, a pregnancy was confirmed and subsequently identified as a monochorionic twin pregnancy. Twin-Twin Transfusion syndrome was identified at 18 weeks’ gestation and progressed rapidly to Quintero Stage IV. In consultation with a multi-disciplinary international team, fetoscopic laser photocoagulation was performed. The pregnancy progressed to delivery of female infants at 33 weeks gestation, who have achieved all developmental milestones at 2 years of age. Conclusions: We describe the multi-disciplinary effort to optimise the maternal condition to allow fetoscopic laser photocoagulation and continued management of the maternal and fetal conditions to a successful pregnancy outcome. | en |
| dc.description.status | Peer reviewed | en |
| dc.description.version | Published Version | en |
| dc.format.mimetype | application/pdf | en |
| dc.identifier.articleid | 377 | en |
| dc.identifier.citation | McCarthy, C. M., al-Madhani, A., Smyth, S., Russell, N. E., Wimalasundera, R. and O’Donoghue, K. (2019) 'A double dilemma: treatment of stage IV fetal twin-twin transfusion syndrome in the setting of maternal recurrent venous thromoembolism: a case report', BMC Pregnancy and Childbirth, 19(1), 377. (4.pp.) doi: 10.1186/s12884-019-2551-9 | en |
| dc.identifier.doi | 10.1186/s12884-019-2551-9 | en |
| dc.identifier.eissn | 1471-2393 | |
| dc.identifier.endpage | 4 | en |
| dc.identifier.issued | 1 | en |
| dc.identifier.journaltitle | BMC Pregnancy and Childbirth | en |
| dc.identifier.startpage | 1 | en |
| dc.identifier.uri | https://hdl.handle.net/10468/9307 | |
| dc.identifier.volume | 19 | en |
| dc.language.iso | en | en |
| dc.publisher | BMC, Springer Nature | en |
| dc.rights | ©The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en |
| dc.subject | Fetoscopy | en |
| dc.subject | Fetoscopic laser photocoagulation | en |
| dc.subject | Multi-disciplinary care | en |
| dc.subject | Twin twin transfusion syndrome | en |
| dc.subject | Venous thromboemobilic disease | en |
| dc.title | A double dilemma: treatment of stage IV fetal twin-twin transfusion syndrome in the setting of maternal recurrent venous thromoembolism: a case report | en |
| dc.type | Article (peer-reviewed) | en |
