Feto-Fetal Transfusion Syndrome (FFTS) or Twin-to-Twin Transfusion Syndrome (TTTS)
This syndrome is characterized by an imbalance of blood flow and net loss of blood from one fetus to the other, caused by connected blood vessels in the shared placenta. Interfetal transfusion is a common phenomenon in monochorionic multiple pregnancies, and usually balanced. However, in the case of a chronic imbalance of flow between the twins, TTTS develops. Arterio venous anastomoses are responsible for the imbalance of blood flow. The syndrome occurs exclusively in monochorionic, diamniotic twin pregnancies.
TTTS is a disease of the placenta and the babies are usually normal if treated in an early clinical stage.
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