Twin reversed arterial perfusion (TRAP) sequence in association with VACTERL association: a case report

AbstractRadiofrequency ablation (RFA) has become widely accepted as first-line management for twin reversed arterial perfusion (TRAP) sequence. Most RFA procedures have been performed using RFA needles of 14–17 gauge (G) focusing on an acardiac mass at an average age of 21 weeks of gestation (17–24 weeks). In this case report, we describe treatment of TRAP sequence using RFA with a 20 G needle focusing a feeding artery on the placental surface at gestational age of 11+6.

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Acardiac-acephalus Twinning- A Very Rare Case Report

Medicine Today ◽

10.3329/medtoday.v32i2.48839 ◽

2020 ◽

Vol 32 (2) ◽

pp. 143-144

Author(s):

Parvez Ahmed ◽

Nasrin Begum ◽

Mostofa Shamim Ahsan ◽

Mosharruf Hossain ◽

Munshi Md Arif Hosen ◽

...

Keyword(s):

Case Report ◽

Rare Case ◽

Severe Form ◽

Monochorionic Twin ◽

Arterial Perfusion ◽

Trap Sequence ◽

Rare Case Report ◽

Medicine Today ◽

Twin Pregnancies ◽

Twin Reversed Arterial Perfusion

Introduction:This study highlights a very rare case which was related to abnormal monochorionic twinning status. Case Report: This case (a 28 year old pregnant woman) came at this institute for ultrasonographic evaluation of herpregnancy status. Her ultrasonographic results were consistent with acardiac-acephalus twinning condition (which isalso known as, twin reversed arterial perfusion or TRAP sequence). Discussion: This monochorionic twin pregnancy isa severe form of twin-to-twin transfusion syndrome (TTTS) and severe TTTS has mortality rate of about 60–100%. Conclusion: This case is very rare showing prevalence of about 1/35,000 overall pregnancies and accounting 1.0% ofthe monochorionic twin pregnancies. Medicine Today 2020 Vol.32(2): 143-144

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Early Radiofrequency Ablation for Twin Reversed Arterial Perfusion TRAP) Sequence: Case Report and Literature Review

Gynecology & Obstetrics ◽

10.4172/2161-0932.1000239 ◽

2014 ◽

Vol 04 (09) ◽

Author(s):

James Andrews

Keyword(s):

Case Report ◽

Radiofrequency Ablation ◽

Literature Review ◽

Arterial Perfusion ◽

Trap Sequence ◽

Twin Reversed Arterial Perfusion

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Twin reversed arterial perfusion (TRAP) sequence – a case report and review of literature

Hamdan Medical Journal ◽

10.7707/hmj.408 ◽

2015 ◽

Vol 8 (3) ◽

pp. 307

Author(s):

NawalM Hubaishi ◽

Fatima Cherifi ◽

Azza Elsayed ◽

Farida Adam

Keyword(s):

Case Report ◽

Review Of Literature ◽

Arterial Perfusion ◽

Trap Sequence ◽

Twin Reversed Arterial Perfusion

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Twin Reversed Arterial Perfusion (TRAP) Sequence: A Case Report in Fallujah Maternity and Children Hospital, Fallujah, Iraq

Clinical Medicine Research ◽

10.11648/j.cmr.20150405.15 ◽

2015 ◽

Vol 4 (5) ◽

pp. 151

Author(s):

Samira T. Abdulghani Alaani

Keyword(s):

Case Report ◽

Arterial Perfusion ◽

Trap Sequence ◽

Twin Reversed Arterial Perfusion

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TWIN REVERSED ARTERIAL PERFUSION SEQUENCE (TRAP);

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.07.1032 ◽

2017 ◽

Vol 24 (07) ◽

pp. 1093-1095

Author(s):

Mubasher Saeed Pansota ◽

Muhammad Imran Niaz

Keyword(s):

Case Report ◽

Cardiac Failure ◽

Twin Pregnancy ◽

Identical Twins ◽

The Other ◽

Arterial Perfusion ◽

Trap Sequence ◽

Cardiac System ◽

Twin Reversed Arterial Perfusion ◽

Pump Twin

Twin reversed arterial perfusion sequence (TRAP sequence) is a condition thatoccurs only in identical twins that share a placenta (monochorionic), in which one twin lackinga functioning cardiac system “acardiac monster” receives blood from the normally developingtwin called the “pump twin”. This places an enormous demand on the heart putting the pumptwin at risk for cardiac failure. Left untreated, the pump twin will die in 50 percent to 75 percentof cases. Here we present the case report of a 20 years old G2P1at 32 weeks POG with amonochorionic twin pregnancy. One of the twins was “acardiac acephalous” and the other a“pump twin” with mild hydrocephalous.

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