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Twin-to-Twin Transfusion Syndrome - Medical Animation
 
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Twin-to-Twin Transfusion Syndrome - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: If you're pregnant with twins who have twin-to-twin transfusion syndrome, blood is passing from one twin to the other. Inside your uterus, your fetus receives blood through blood vessels in the umbilical cord connected to his or her belly button. The other end of the umbilical cord is attached to the placenta, a temporary organ inside your uterus. The outer layer of the placenta called the chorion contains many blood vessels that carry blood to and from the umbilical cord. The fetus floats in a watery substance called amniotic fluid. Surrounding both the fetus and amniotic fluid is a thin membrane called the amniotic sac. If you're pregnant with twins, they may share amniotic fluid, because they're both in the same sac, or each twin might have his or her own amniotic sac. These twins may each have their own placenta, or they might share a single placenta. Sometimes when twins share a placenta, blood passes between them through the placentas blood vessels. This rare condition is called Twin-to-Twin Transfusion Syndrome or TTS. In twin-to-twin transfusion syndrome, one twin called the recipient twin receives too much blood, while the other twin, called the donor twin, receives two little. When this happens, the excess fluid in the recipient twin's blood is filtered out of his or her body as urine. The urine passes into the amniotic sac, which makes the sac larger. Twin-to-twin transfusion syndrome happens in only a small fraction of identical twins that share a single placenta. It is also rare complication with triplets or any other multiple pregnancy the cause is not known. Complications that may result from twin-to-twin syndrome are pre-term birth. A condition called high drops, which is swelling of one or both of the twins or death of one or both of the twins. In addition, one or both twins may develop cerebral palsy or other brain impairments after birth. Treatment options for twin-to-twin transfusion syndrome include reduction amniocentesis, selective laser ablation, or selective cord coagulation. If you have reduction amniocentesis, a needle will be used to drain fluid from around the twin with excess amniotic fluid. This procedure may need to be repeated. During selective laser ablation, the blood vessels that allow blood to pass between the twins will be sealed off with a laser. If you have selective cord coagulation, one of the umbilical cords will be closed off with electrical current or a laser. This is performed when laser ablation is not possible or when one of the twins is not expected to survive. If you have a concern about twin-to-twin transfusion syndrome and your pregnancy, seek care at an experienced tertiary center. Your obstetrician may be able to provide you with a referral.

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What attorneys say about MLA and The Doe Report:
"The illustrations have consistently been well documented, accurate and timely. Most important though is that the illustrations demonstrate to juries and claims people the persuasive power of visual communication. Our firm has achieved multiple eight figure settlements and verdicts over the past ten years... Medical Legal Art has been there with us on every case."

Thomas C. Jones
Davis, Bethune & Jones, L.L.C.
Kansas City, MO
www.dbjlaw.net

"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY

"I just wanted to let you know that after several days on trial, I settled [my client's] construction accident case for $4.5 million. Immediately after the jury was discharged, I spoke with several jurors who told me that they really appreciated the medical illustrations for their clarity in dealing with [my client's] devastating injuries. They also expressed their gratitude in being able to read from a distance all of the notations without difficulty. Obviously, the boards were visually persuasive. I am certain that this contributed to our successful result."

Michael Gunzburg, Esq.
Attorney at Law.
New York, NY

"Thank you very much for the great work on the medical exhibits. Our trial resulted in a $16 million verdict for a 9 year old boy with catastrophic injuries, and the medical illustrations definitely played key role in the trial."

David Cutt
Brayton Purcell
Salt Lake City, UT













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