Manifestation of Mirror Syndrome after Fetoscopic Laser Photocoagulation in Severe Twin-Twin Transfusion Syndrome

Vol. 21, No. 1, 2006

Free Abstract Article (References) Article (PDF 103 KB)

Paper

Manifestation of Mirror Syndrome after Fetoscopic Laser Photocoagulation in Severe Twin-Twin Transfusion Syndrome
Satoshi Hayashi^a, Haruhiko Sago^a, Reiko Hayashi^b, Satoshi Nakagawa^b, Michihiro Kitagawa^c, Katsuyuki Miyasaka^b, Toshio Chiba^d, Michiya Natori^{a, c}

^aDivision of Fetal Medicine, Department of Perinatal Medicine and Maternal Care,
^bDepartment of Anesthesiology and Critical Care Medicine,
^cDivision of Obstetrics, Department of Perinatal Medicine and Maternal Care, and
^dDepartment of Strategic Medicine, National Center for Child Health and Development, Tokyo, Japan

Address of Corresponding Author

Fetal Diagn Ther 2006;21:51-54 (DOI: 10.1159/000086835)

Key Words

Mirror syndrome
Hydrops fetalis
Twin-twin transfusion syndrome
Fetal treatment
Fetoscopic laser photocoagulation
Hyperreactio luteinalis

Abstract

Mirror syndrome is a preeclampsia-like disease first described in a case of severe hydrops fetalis caused by rhesus isoimmunization, later reported in some cases of nonimmunological fetal hydrops. Twin-twin transfusion syndrome (TTTS) is a severe complication associated with monochorionic pregnancies, in particular, severe TTTS with one hydropic fetus leading to a poor prognosis. We report here a case of mirror syndrome that occurred after selective fetoscopic laser photocoagulation in severe TTTS at 24 weeks' gestation.

Author Contacts

Haruhiko Sago, MD, PhD
Division of Fetal Medicine, Department of Perinatal Medicine and Maternal Care
National Center for Child Health and Development, 2-10-11 Okura, Setagaya-ku
Tokyo 157-8535 (Japan)
Tel. +81 3 3416 0181, Fax +81 3 3416 2222, E-Mail sagou-h@ncchd.go.jp

Article Information

Received: September 17, 2004
Accepted after revision: November 30, 2004
Number of Print Pages : 4
Number of Figures : 1, Number of Tables : 1, Number of References : 22

Medline Abstract (ID 16354975)

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