Twin to twin transfusion syndrome: a collaboration between Poznan University of Medical Sciences and Loma Linda University School of Medicine

We present two cases of twin-to-twin transfusion from two institutions. Laser photocoagulation was used to ablate the bridging aterio-venous shunts in one cases permitting resolution of early evidence of hydrops fetalis, while in the other prompt recognition of fetal cardiac failure after amniotic fluid reduction with cesarean section allowed for neonatal intensive with survival. We discuss the origins of twin-to-twin syndrome and it contemporary treatment, and fetal and neonatal complications that can arise in this monochorionic multi-fetal gestations and current medical management .