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KMID : 0358420040470112217
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Korean Journal of Obstetrics and Gynecology
2004 Volume.47 No. 11 p.2217 ~ p.2223
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Three cases of Twin-to-Twin Transfusion Syndrome which were managed with maternal digitalization
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송근아/Song GA
최일정/전효정/이영아/차문석/제구화/Choi IJ/Jun HJ/Lee YA/Cha MS/Je GH
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Abstract
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Twin-to-twin transfusion syndrome (TTTS) is one of the complications showing high mortality rate in monochorionic twins with vascular communication in the placenta. Clinical manifestations of TTTS are usually characterized by polyhydramnios, circulatory overload, cardiac failure and fetal hydrops in the recipient twin and symmetrical fetal growth restriction, oligohydramnios, hypovolemia and anemia in the donor twin. TTTS occurres in 10-35% of monochorionic twins. We report three cases of TTTS with fetal hydrops in which amnioreduction was serially attempted and maternal digoxin treatment was tried for the therapeutic purpose.
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