Significance of Donor Anuria Differs between Monoamniotic and Diamniotic Twin–Twin Transfusion Syndrome

Abstract Development of severe twin–twin transfusion syndrome (TTTS) in diamniotic–monochorionic twins includes five stages of increasing severity, i.e. recipient polyhydramnios and donor oligohydramnios, donor anuria, abnormal umbilical flow velocities in either twin, hydrops in the recipient, and...

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Bibliographic Details
Published in:Placenta (Eastbourne) 2007-05, Vol.28 (5), p.523-526
Main Authors: Schaap, A.H.P, van den Wijngaard, J.P.H.M, Nikkels, P.G.J, van den Broek, A.J.M, Snieders, I, van Gemert, M.J.C
Format: Article
Language:English
Subjects:
Adult
Amnioreduction
Anuria - etiology
Biological and medical sciences
Computer Simulation
Embryology: invertebrates and vertebrates. Teratology
Female
Fetofetal Transfusion - pathology
Fetofetal Transfusion - physiopathology
Fundamental and applied biological sciences. Psychology
Hemoglobins - metabolism
Humans
Internal Medicine
Monoamniotic twin pregnancy
Obstetrics and Gynecology
Placenta - pathology
Pregnancy
Twins, Dizygotic
Twin–twin transfusion syndrome
Vascular anastomosis
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Summary:Abstract Development of severe twin–twin transfusion syndrome (TTTS) in diamniotic–monochorionic twins includes five stages of increasing severity, i.e. recipient polyhydramnios and donor oligohydramnios, donor anuria, abnormal umbilical flow velocities in either twin, hydrops in the recipient, and intrauterine fetal death (IUFD) in either or both twins. In a severe case of TTTS in monoamniotic twins we observed donor anuria to appear after hydrops in the recipient. We conclude that donor anuria is a late and serious symptom in monoamniotic TTTS.
ISSN:0143-4004
1532-3102
DOI:10.1016/j.placenta.2006.09.003