Abstract

Twin-to-Twin Transfusion Syndrome (TTTS) is a serious complication of twin pregnancy, which develops in approximately 10 to 15 percent of monochorionic twin pregnancies while it is very rare in dichorionic pregnancies. At present, fetal laser surgery has become the preferred treatment for stage II to IV TTTS. It has been reported that fetal laser therapy after early diagnosis of TTTS can improve neonatal outcome. From May 2018 to December 2021, there are a total of 140 cases which underwent fetoscopic laser surgery in the Third Affiliated Hospital of Zhengzhou University. Among them, one case of twin-twin transfusion syndrome was dichorionic twins. The patient with dichorionic-diamnionic twin pregnancy was diagnosed with TTTS Stage II at 23 weeks and 4 days of Gestational Age (GA). After fetoscopic laser surgery and bipolar coagulation, the patient delivered vaginally two viable male infants at 31 weeks GA. Follow-up showed that the two infants survived. Keywords: TTTS; dichorionic twins; fetoscopic; placenta

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