TWIN REVERSED ARTERIAL PERFUSION SEQUENCE (ACARDIAC TWIN): A RARE CASE REPORT

Abstract The incidence of multifetal pregnancies has dramatically increased due to assisted reproductive technology. As a result, preterm labor, Preterm premature rupture of the membranes, congenital anomalies and fetal losses are commonly encountered by obstetricians. Despite advances in diagnostic modalities and prenatal care, many times the complications associated with multifetal pregnancies may remain undiagnosed. Complications are more with monochorionic twin gestation due to placental sharing. “Twin – reversed arterial perfusion” sequence or “acardiac twin” is one such complication. This case report presents an antenatally undiagnosed monochorionic twin pregnancy, resulting in preterm delivery of a healthy, normal twin along with an acardiac acephalus co-twin. How to cite this article Srivastava NN, Bhatia T, Narshetty J, Kumar S. Acardiac Twin: A Rare Case Report. Int J Infertil Fetal Med 2016;7(3):103-104.

Download Full-text

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

Download Full-text

Acardiac Twin: A Rare Case Report

Women s Health ◽

10.15406/mojwh.2017.05.00137 ◽

2017 ◽

Vol 5 (5) ◽

Author(s):

Maasoumeh Saleh

Keyword(s):

Case Report ◽

Rare Case ◽

Acardiac Twin ◽

Rare Case Report

Download Full-text

Acardia anceps- A case report

Indian Journal of Obstetrics and Gynecology Research ◽

10.18231/j.ijogr.2021.083 ◽

2021 ◽

Vol 8 (3) ◽

pp. 408-410

Author(s):

Shital Lad ◽

Mangala Shinde

Keyword(s):

Case Report ◽

Twin Pregnancy ◽

Clinical Case ◽

Preterm Labour ◽

Large Artery ◽

Arterial Perfusion ◽

Acardiac Twin ◽

Trap Sequence ◽

Twin Reversed Arterial Perfusion

Twin-Reversed Arterial Perfusion(TRAP) sequence or Acardia twin refers to a unique complication of mono-chorionic twin pregnancy in which a twin with an absent or rudimentary non functioning heart (acardiac twin) is perfused by its co-twin (pumping twin) through a large artery to artery placental shunt, often accompanied by a vein to vein shunt. Here we discussed about a clinical case of TRAP sequence came in established preterm labour and its management.

Download Full-text

Acardiac – Acephalus Twin – A Rare Case Report and Review of Literature

International Journal of Recent Surgical and Medical Sciences ◽

10.1055/s-0039-1678625 ◽

2015 ◽

Vol 01 (01) ◽

pp. 008-011

Author(s):

Mukta Mital ◽

Tanuj Garg ◽

Prashant Gupta ◽

Vinit Nanda

Keyword(s):

Case Report ◽

Rare Case ◽

Twin Pregnancy ◽

Rare Complication ◽

The Body ◽

Review Of Literature ◽

Acardiac Twin ◽

Severe Reduction ◽

Rare Case Report ◽

Pump Twin

AbstractAcardiac twin pregnancy is a rare complication of monochorionic twinning caused by aterioarterial and venovenous placental anastomosis, leading to circulatory predominance of one twin (1). The donor “pump’ twin provides circulation for itself as well as and for the recipient acardiac twin. The acardiac twin is usually grossly abnormal with severe reduction anamolies of the upper part of the body. We present a case of acephalus acardiac anomaly diagnosed by ultrasound, with subsequent post delivery followup.

Download Full-text