Key result
Foetoscopic laser photocoagulation in a donor fetus with twin-to-twin transfusion syndrome was followed by right-heart failure with high echoic wall change, which gradually recovered over 1 year.
Case Report (n=1)
Right ventricular failure with high echoic wall changes can occur in donor fetuses following foetoscopic laser photocoagulation for twin-to-twin transfusion syndrome, with potential for gradual recovery.
Right ventricular dysfunction may resolve after TTTS laser; leaves open need for prospective cardiac outcome studies.
The introduction of foetoscopic laser photocoagulation has dramatically improved the prognosis of patients with severe twin-to-twin transfusion syndrome. We present the case of a donor who exhibited right-heart failure with a high echoic wall change of the right ventricle after the foetoscopic laser photocoagulation procedure. The prenatal and 1-year postnatal follow-up revealed the gradual recovery of the right ventricular function.
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Mineo et al. (2014) conducted a case report in Twin-to-twin transfusion syndrome (n=1). Foetoscopic laser photocoagulation was evaluated on Right ventricular function recovery. Foetoscopic laser photocoagulation in a donor fetus with twin-to-twin transfusion syndrome was followed by right-heart failure with high echoic wall change, which gradually recovered over 1 year.
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