Managing two cases of twin anemia–polycythemia sequence in monochorionic twin pregnancies
BackgroundTwin anemia–polycythemia sequence (TAPS) is a rare monochorionic complication. In this study, we discuss the management of two cases of TAPS with different conditions.Case presentationPatient 1 was a 34-year-old multigravida in whom the fetal middle cerebral artery peak systolic velocities...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2024.1504772/full |
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| author | Yongke Zhang Yiheng Liang Ran Chen Dirong Zhang Jing Wu |
| author_facet | Yongke Zhang Yiheng Liang Ran Chen Dirong Zhang Jing Wu |
| author_sort | Yongke Zhang |
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| description | BackgroundTwin anemia–polycythemia sequence (TAPS) is a rare monochorionic complication. In this study, we discuss the management of two cases of TAPS with different conditions.Case presentationPatient 1 was a 34-year-old multigravida in whom the fetal middle cerebral artery peak systolic velocities (MCA-PSVs) were 0.86 multiples of the median (MoM) and 2.0 MoM at 33 weeks of gestation. After cesarean section, stage 3 TAPS was confirmed according to the ultrasound findings and hemoglobin results of the newborns and placenta examination after birth. Patient 2 was a nulligravida who was diagnosed with stage 2 TAPS at 18 weeks of gestation. The patient underwent fetoscopic laser surgery. Ultrasonography monitoring of the MCA-PSVs was performed on a schedule after surgery, with a good status but selective intrauterine growth restriction of one cotwin. The newborns reached their normal development milestones after spontaneous preterm birth.ConclusionOptimal management should be carefully selected for patients with different TAPS conditions. |
| format | Article |
| id | doaj-art-77ca4633a40c4d4ebc628912a2890024 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj-art-77ca4633a40c4d4ebc628912a28900242025-01-28T04:11:03ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.15047721504772Managing two cases of twin anemia–polycythemia sequence in monochorionic twin pregnanciesYongke Zhang0Yiheng Liang1Ran Chen2Dirong Zhang3Jing Wu4Department of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaDepartment of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaDepartment of Ultrasonography, Peking University Shenzhen Hospital, Shenzhen, ChinaDepartment of Ultrasonography, Peking University Shenzhen Hospital, Shenzhen, ChinaMedical Genetic Center, Guangdong Women and Children Hospital, Guangzhou, ChinaBackgroundTwin anemia–polycythemia sequence (TAPS) is a rare monochorionic complication. In this study, we discuss the management of two cases of TAPS with different conditions.Case presentationPatient 1 was a 34-year-old multigravida in whom the fetal middle cerebral artery peak systolic velocities (MCA-PSVs) were 0.86 multiples of the median (MoM) and 2.0 MoM at 33 weeks of gestation. After cesarean section, stage 3 TAPS was confirmed according to the ultrasound findings and hemoglobin results of the newborns and placenta examination after birth. Patient 2 was a nulligravida who was diagnosed with stage 2 TAPS at 18 weeks of gestation. The patient underwent fetoscopic laser surgery. Ultrasonography monitoring of the MCA-PSVs was performed on a schedule after surgery, with a good status but selective intrauterine growth restriction of one cotwin. The newborns reached their normal development milestones after spontaneous preterm birth.ConclusionOptimal management should be carefully selected for patients with different TAPS conditions.https://www.frontiersin.org/articles/10.3389/fmed.2024.1504772/fullmonochorionic twin pregnancytwin anemia-polycythemia sequencemiddle cerebral artery peak systolic velocityfetoscopic laser therapyultrasound monitoring |
| spellingShingle | Yongke Zhang Yiheng Liang Ran Chen Dirong Zhang Jing Wu Managing two cases of twin anemia–polycythemia sequence in monochorionic twin pregnancies Frontiers in Medicine monochorionic twin pregnancy twin anemia-polycythemia sequence middle cerebral artery peak systolic velocity fetoscopic laser therapy ultrasound monitoring |
| title | Managing two cases of twin anemia–polycythemia sequence in monochorionic twin pregnancies |
| title_full | Managing two cases of twin anemia–polycythemia sequence in monochorionic twin pregnancies |
| title_fullStr | Managing two cases of twin anemia–polycythemia sequence in monochorionic twin pregnancies |
| title_full_unstemmed | Managing two cases of twin anemia–polycythemia sequence in monochorionic twin pregnancies |
| title_short | Managing two cases of twin anemia–polycythemia sequence in monochorionic twin pregnancies |
| title_sort | managing two cases of twin anemia polycythemia sequence in monochorionic twin pregnancies |
| topic | monochorionic twin pregnancy twin anemia-polycythemia sequence middle cerebral artery peak systolic velocity fetoscopic laser therapy ultrasound monitoring |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1504772/full |
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