%0 Journal Article
%T S赤ndrome de transfusi車n intergemelar estadio III, manejado con fotocoagulaci車n l芍ser guiada por fetoscopia, complicado con s赤ndrome de Ballantyne y RCIU selectivo del feto donante: reporte de caso y revisi車n de la literatura A case report and literature review in twin-twin transfusion syndrome stage III, fetoscopy-guided laser therapy, complicated with ballantyne syndrome and selective IUGR of fetus donor
%A Libardo A G車mez-Castro
%A Guido Parra
%A Felipe Vergara
%A Miguel Parra
%J Revista Colombiana de Obstetricia y Ginecolog赤a
%D 2010
%I Federaci車n Colombiana de Asociaciones de Obstetricia y Ginecolog赤a
%X Objetivo: se presenta el caso de una paciente primigestante con embarazo monocorial biamni車tico y s赤ndrome de transfusi車n intergemelar estadio III, diagnosticado en la semana 23 de gestaci車n. El manejo se llev車 a cabo con foto-coagulaci車n l芍ser selectiva y secuencial de vasos comunicantes. Se present車 complicaci車n con s赤ndrome de Ballantyne y RCIU selectivo del feto donante. Desembarazada en la semana 35 con buen resultado perinatal. El objetivo es realizar una revisi車n actualizada de la literatura del s赤ndrome de Ballantyne. Materiales y m谷todos: se revisaron las bases de datos PubMed, Cochrane, MEDLINE y libros de la especialidad, relativos al t谷rmino ※s赤ndrome de Ballantyne§, sin restricci車n en la fecha de publicaci車n. Conclusi車n: la fotocoagulaci車n l芍ser selectiva y secuencial de vasos comunicantes es el manejo de elecci車n para el s赤ndrome de transfusi車n fetofetal. La restricci車n de crecimiento selectivo del feto donante en estadio III se puede presentar en el 40 a 70% de los casos. El s赤ndrome de Ballantyne puede ser secundario a edema placentario sin hidrops fetal; su sospecha puede ayudar a identificar cu芍les pacientes se podr赤an beneficiar de un manejo activo de esta patolog赤a. Objective: a 21 years old primagravida patient with biamniotic monochorial twin pregnancy and stage III twin-to-twin transfusion syndrome, diagnosed during week 23 of gestation is presented. She was managed with selective, sequential laser photocoagulation of the communicating blood vessels which was complicated by Ballantyne's syndrome (mirror syndrome) and selective intrauterine growth restriction (IUGR) of the donor fetus. She delivered during week 35 with good perinatal result. The object was to make an updated review of the literature about Ballantyne's syndrome. Materials and methods: the PubMed/ MEDLINE, Cochrane databases were searched as well as books on the specialization, related to the term "Ballantyne's syndrome", with no restriction regarding publication date. Conclusion: selective, sequential laser photocoagulation of the communicating blood vessels is the management of choice for twintwin fetus transfusion syndrome. Selective growth restriction of the donor fetus in stage III could be presented in 40% to 70% of cases. Ballantyne＊s syndrome could be secondary to placental edema without fetal hydrops; suspecting it, helps to identify which patients could benefit from active management of this pathology.
%K s赤ndrome de Ballantyne
%K s赤ndrome de Mirror
%K pseudotoxemia
%K s赤ndrome transfusi車n intergemelar
%K fotocoagulaci車n l芍ser
%K Ballantyne syndrome
%K mirror syndrome
%K pseudotoxemia
%K twin-to-twin transfusion syndrome
%K laser photocoagulation
%U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74342010000400008