SÍNDROME ANTIFOSFOLÍPIDOS Y TROMBOCITOPENIA MATERNA EN GEMELAR BICORIÓNICO CON RESTRICCIÓN FETAL GRAVE

SUMMARY We report a clinical case of antiphospholipid syndrome with previous fetal death and extended anticoagulant treatment. At a second gestation (bichorionic twins) an early selective restriction of one fetus was developed which stopped growth on week 25. After a treated maternal thrombocytopenia we proceed with an elective premature delivery by cesarean section on week 28. Both twins (860 and 406 grams each) survived the neonatal period. We discuss the ethiopatogenic probable mechanisms and singular aspects of circulatory adaptation of twin B in a very complex case and management.