Feto‐Feto‐Fetal triplet transfusion syndrome (FFFTTS)

Entezami, Michael; Runkel, Sanyukta; Becker, Rolf; Weitzel, H.; Arabin, Birgit

doi:10.1002/(sici)1520-6661(199711/12)6:6<334::aid-mfm7>3.3.co;2-2

Cited by 11 publications

(16 citation statements)

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“…ria. In one reported case of feto-feto-fetal triplet transfusion syndrome (FFFTTS) with 2 of the triplets appearing as donors, the recipient showed periventricular leukomalacia, which was also supposed to be the result of thromboembolic events [9]. Cellular damage on the side of the donor was attributed to severe prolonged anemia.…”

Section: Discussionmentioning

confidence: 80%

Multiple thromboembolic events in fetofetal transfusion syndrome in triplets contributing to the understanding of pathogenesis of hydranencephaly in combination with polymicrogyria

Mittelbronn¹,

Beschorner²,

Schittenhelm³

et al. 2006

Human Pathology

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Section: Discussionmentioning

confidence: 80%

Multiple thromboembolic events in fetofetal transfusion syndrome in triplets contributing to the understanding of pathogenesis of hydranencephaly in combination with polymicrogyria

Mittelbronn¹,

Beschorner²,

Schittenhelm³

et al. 2006

Human Pathology

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“…The other four cases were complicated by feto-fetal transfusion syndrome. In one case report,5 symptoms of a recipient (polyhydramnios, tricuspid valve insufficiency and ascites) were present in the third triplet. The second of the donor twins died in utero at 25 weeks.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous monochorionic triplet pregnancy with no fetal anomaly or feto-fetal transfusion

Gandham

Ogueh

2012

BMJ Case Reports

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We present a case of spontaneously conceived monochorionic triamniotic triplet pregnancy with no fetal anomaly or feto-fetal transfusion. The mother developed gestational diabetes at 20 weeks gestation, and at 20 weeks and 4 days gestation triplet 2 was found to have selective growth restriction and absent end diastolic flow. Although laser treatment and clamping of the umbilical cord of the growth-restricted baby was considered, the management was conservative with regular ultrasound scans and antenatal corticosteroids at 24 weeks gestation, and the umbilical artery Doppler reverted to normal at 26 weeks and 4 days and growth velocity was maintained. An elective caesarean section was performed at 33 weeks gestation to deliver three boys in excellent condition who only required feeding support.

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“…The incidence of spontaneous triplet pregnancies is reported to be 1 in 11 000 live births 4 . Of all triplets, only 4.3% present as monochorionic, all of which are of spontaneous origin; 19.6% present as dichorionic, 78% of which are of spontaneous origin; and the remaining 76.1% present as trichorionic, 81% of which are induced 5 .…”

Section: Discussionmentioning

confidence: 99%

“…Therefore it seems that all monochorionic and the majority of dichorionic triplets in whom fetofetal transfusion can occur are of spontaneous origin, and that fetofetal transfusion in induced triplets is relatively rare. Monochorionic multiplets are at increased risk mainly due to associated vascular communications in the placenta 4 . An imbalance in the net flow of blood across the placental vascular communications from one fetus to another results in fetofetal transfusion syndrome 3 .…”

Section: Discussionmentioning

confidence: 99%

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Monochorionic triplet pregnancy complicated by severe fetofetal transfusion

Hayashi¹,

Kikuchi²,

Joshita³

et al. 2005

J of Obstet and Gynaecol

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We report two cases of fetofetal transfusion in monochorionic triamniotic triplet pregnancies. Case 1: At 23 weeks' gestation an amnioreduction was carried out. Three days later, the donor triplet died in utero. Immediately after that, a cardiotocogram of the triplet who had been thought to be unaffected by the fetofetal transfusion, showed a non-reassuring fetal status. Although cesarean section was carried out, none of the triplets survived. Case 2: At 24 weeks' gestation a woman was transferred to our center because of fetofetal transfusion in monochorionic triplets. Cesarean section was carried out. However, the recipient died on the 75th day after birth, and the others had neurological problems. Previous reports on fetofetal transfusion in triplets are very limited. The prognosis of this condition has been reported to be severe, irrespective of chorionicity, gestational age at delivery, maternal age, and parity. When managing a monochorionic or dichorionic triplet pregnancy, serial and careful ultrasound examination is mandatory to find early symptoms of this serious condition.

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Feto‐Feto‐Fetal triplet transfusion syndrome (FFFTTS)

Cited by 11 publications

References 0 publications

Multiple thromboembolic events in fetofetal transfusion syndrome in triplets contributing to the understanding of pathogenesis of hydranencephaly in combination with polymicrogyria

Multiple thromboembolic events in fetofetal transfusion syndrome in triplets contributing to the understanding of pathogenesis of hydranencephaly in combination with polymicrogyria

Spontaneous monochorionic triplet pregnancy with no fetal anomaly or feto-fetal transfusion

Monochorionic triplet pregnancy complicated by severe fetofetal transfusion

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