le syndrome transfuseur transfuse : physiopathologie, diagnostic et ...
le syndrome transfuseur transfuse : physiopathologie, diagnostic et ...
le syndrome transfuseur transfuse : physiopathologie, diagnostic et ...
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[31] Lopriore E <strong>et</strong> al. In utero acquired limb ischemia in monochorionic twins with and without twin-to-twin<br />
transfusion <strong>syndrome</strong>. Prenat Diagn 2008;28:800–4.<br />
[32] Rossi, D’addario. Quintero staging system for twin-twin transfusion <strong>syndrome</strong>. American journal of<br />
perinatology 2009; 26: 537-44<br />
[33] Roberts <strong>et</strong> al. Interventions for twin–twin transfusion <strong>syndrome</strong>: a Cochrane review. Ultrasound<br />
Obst<strong>et</strong> Gynecol 2008; 31: 701–711<br />
Donn<br />
eur<br />
Sang<br />
Hypovolé<br />
mie<br />
Hypoperfusion<br />
réna<strong>le</strong><br />
↗<br />
SRA*<br />
↗<br />
Angiotensine<br />
Vasoconstrict<br />
2<br />
ion Dysgénésie tubulaire<br />
Oligoamnios<br />
Vasoconstriction <strong>et</strong><br />
hypoperfusion<br />
placentaire RCIU<br />
Rece<br />
veur<br />
Hypervolémie +<br />
Hyperviscosité<br />
↗<br />
SRA*<br />
↗ TA<br />
Rrétention<br />
hydrique<br />
Hypertrophie du<br />
VD** <strong>et</strong> VG**<br />
IT / IM***<br />
Cardiomyopathie<br />
hypertrophique<br />
Anasarque fo<strong>et</strong>oplacentaire<br />
Sténose pulmonaire<br />
fonctionnel<strong>le</strong><br />
Schéma 1 : illustrant la <strong>physiopathologie</strong> du <strong>syndrome</strong> <strong><strong>transfuse</strong>ur</strong> transfusé<br />
* : système rénine angiotensine,<br />
**: ventricu<strong>le</strong> droit, ventricu<strong>le</strong> gauche<br />
*** : insuffisance tricuspide, insuffisance mitra<strong>le</strong><br />
9