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  • Title: Antenatal necrotic injury in severe twin-to-twin transfusion syndrome. A case and review.
    Author: Carr SR, Luks F, Tracy T, Plevyak M.
    Journal: Fetal Diagn Ther; 2004; 19(4):370-2. PubMed ID: 15192299.
    Abstract:
    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.
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