A Case Report Twin Reversed Arterial Perfusion Syndrome (TRAP or Acardiac Twin) – A Case Report
A Case Report
Keywords:
A Cardiac twin, fetal anomaly
Abstract
Acardiac Twin known as TRAP (Twin Reversed Arterial Perfusion) syndrome is rare and serious complication of mono-zygotic multiple gestation. This results in existence of Acardiac twin which fails to develop head, upper limbs, heart and dependent upon normal twin to provide circulation by means of vascular anastomosis. The pump twin although structurally normal will have high morbidity and mortality. This case report presents an antenatally diagnosed mono chorionic twin pregnancy with delivery of normal twin and Acardiac amorphous co-twin.
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References
1. Hartge DR, Weichert J. Prenatal diagnosis, and outcome of multiple pregnancies with reversed arterial perfusion (TRAP-sequence). Archives of gynecology and obstetrics. 2012 Jul;286(1):81-8.
2. Chalouhi GE, Stirnemann JJ, Salomon LJ, Essaoui M, Quibel T, Ville Y. Specific complications of monochorionic twin pregnancies: twin–twin transfusion syndrome and twin reversed arterial perfusion sequence. InSeminars in Fetal and Neonatal Medicine 2010 Dec 1 (Vol. 15, No. 6, pp. 349-356). WB Saunders.
3. Shettikeri A, Acharya V, Shailaja V, Sahana R, Radhakrishnan P. Outcome of pregnancies diagnosed with TRAP sequence prenatally: a single-centre experience. Fetal Diagnosis and Therapy. 2020;47(4):301-6.
4. Wong AE, Sepulveda W. Acardiac anomaly: current issues in prenatal assessment and treatment. Prenatal Diagnosis: Published in Affiliation With the International Society for Prenatal Diagnosis. 2005 Sep;25(9):796-806.
5. Malone FD, D'Alton ME. Anomalies peculiar to multiple gestations. Clinics in perinatology. 2000 Dec 1;27(4):1033-46.
6. Sommerfeldt JC, Putnins RE, Fung KF, Grynspan D, Koujok K. AIRP best cases in radiologic-pathologic correlation: twin reversed arterial perfusion sequence. Radiographics. 2014 Sep;34(5):1385-90.
7. Vitucci A, Fichera A, Fratelli N, Sartori E, Prefumo F. Twin reversed arterial perfusion sequence: current treatment options. International Journal of Women's Health. 2020;12:435.
8. Bianchi DW, Crombleholme TM, D’Alton ME, Malone F. Twin reversed arterial perfusion sequence. Fetology: diagnosis and management of the fetal patient. 2nd ed. New York: Mc-Graw-Hill. 2010;835.
9. Nyberg DA, editor. Diagnostic imaging of fetal anomalies. Lippincott Williams & Wilkins; 2003
2. Chalouhi GE, Stirnemann JJ, Salomon LJ, Essaoui M, Quibel T, Ville Y. Specific complications of monochorionic twin pregnancies: twin–twin transfusion syndrome and twin reversed arterial perfusion sequence. InSeminars in Fetal and Neonatal Medicine 2010 Dec 1 (Vol. 15, No. 6, pp. 349-356). WB Saunders.
3. Shettikeri A, Acharya V, Shailaja V, Sahana R, Radhakrishnan P. Outcome of pregnancies diagnosed with TRAP sequence prenatally: a single-centre experience. Fetal Diagnosis and Therapy. 2020;47(4):301-6.
4. Wong AE, Sepulveda W. Acardiac anomaly: current issues in prenatal assessment and treatment. Prenatal Diagnosis: Published in Affiliation With the International Society for Prenatal Diagnosis. 2005 Sep;25(9):796-806.
5. Malone FD, D'Alton ME. Anomalies peculiar to multiple gestations. Clinics in perinatology. 2000 Dec 1;27(4):1033-46.
6. Sommerfeldt JC, Putnins RE, Fung KF, Grynspan D, Koujok K. AIRP best cases in radiologic-pathologic correlation: twin reversed arterial perfusion sequence. Radiographics. 2014 Sep;34(5):1385-90.
7. Vitucci A, Fichera A, Fratelli N, Sartori E, Prefumo F. Twin reversed arterial perfusion sequence: current treatment options. International Journal of Women's Health. 2020;12:435.
8. Bianchi DW, Crombleholme TM, D’Alton ME, Malone F. Twin reversed arterial perfusion sequence. Fetology: diagnosis and management of the fetal patient. 2nd ed. New York: Mc-Graw-Hill. 2010;835.
9. Nyberg DA, editor. Diagnostic imaging of fetal anomalies. Lippincott Williams & Wilkins; 2003
How to Cite
gayam, susheela. (2023). A Case Report Twin Reversed Arterial Perfusion Syndrome (TRAP or Acardiac Twin) – A Case Report. Obs Gyne Review: Journal of Obstetric and Gynecology, 9(2), 9-11. Retrieved from https://obstetrics.medresearch.in/index.php/joog/article/view/163
Section
Case Report
Copyright (c) 2023 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
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