Acardiac Twin: A Rare Case Report

2016 ◽  
Vol 7 (3) ◽  
pp. 103-104 ◽  
Author(s):  
Nimisha N Srivastava ◽  
Tulsi Bhatia ◽  
Jayshree Narshetty
Keyword(s):  
Case Report ◽  
Preterm Labor ◽  
Rare Case ◽  
Monochorionic Twin ◽  
Arterial Perfusion ◽  
Acardiac Twin ◽  
Rare Case Report ◽  
Diagnostic Modalities ◽  
Twin Reversed Arterial Perfusion ◽  
Normal Twin

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.

scholarly journals Acardiac-acephalus Twinning- A Very Rare Case Report

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

scholarly journals A Case of Trap Sequence with Immense Acardiac Twin

Folia Medica ◽  
2014 ◽  
Vol 56 (2) ◽  
pp. 129-132
Author(s):  
Georgi I. Amaliev ◽  
Maria L. Malinova ◽  
Blagovest K. Pehlivanov ◽  
Hristina A. Ivancheva
Keyword(s):  
Twin Pregnancy ◽  
Rare Complication ◽  
Arterial Perfusion ◽  
Acardiac Twin ◽  
Trap Sequence ◽  
Complicated Pregnancy ◽  
Twin Reversed Arterial Perfusion ◽  
Normal Twin ◽  
Pump Twin

Abstract Twin-reversed arterial perfusion sequence is a rare complication of monochorionic twin pregnancy in which an anomalous acardiac fetus is hemodynamically dependent on its structurally normal “pump” twin. Early diagnosis is essential for improving perinatal prognosis for the normal twin. In this case report we present a case of TRAP sequence with immense acardiac twin with favorable outcome, emphasizing the importance of ultrasound imaging, follow-up and timing of delivery in this complicated pregnancy.

scholarly journals Acardiac Twin: A Rare Case Report

2017 ◽  
Vol 5 (5) ◽  
Author(s):  
Maasoumeh Saleh
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Acardiac Twin ◽  
Rare Case Report

scholarly journals Is it correct to trust each ultrasonography report blindly? a case report on misdiagnosis, diagnosis and management of acardiac twin pregnancy

2020 ◽  
Vol 9 (6) ◽  
pp. 2628
Author(s):  
Pooja Chandak ◽  
Shobha Toshniwal
Keyword(s):  
Case Report ◽  
Twin Pregnancy ◽  
Rare Complication ◽  
Fetal Medicine ◽  
Monochorionic Twin ◽  
Arterial Perfusion ◽  
Acardiac Twin ◽  
Risk Pregnancy ◽  
Twin Pregnancies ◽  
Multifetal Pregnancy

Multifetal gestation is often a high-risk pregnancy and especially the monochorionic twin pregnancy significantly contributes to fetal morbidity and mortality. Acardiac twinning, earlier known as chorioangiopagus parasiticus, is the most extreme manifestation of this condition. An acardiac twin is a rare complication of multifetal pregnancy, in the literature reported at an incidence of 1% of monochorionic twin pregnancies, i.e. 1 of 35,000 pregnancies. Often results from abnormal placental vascular anastomoses. This leads to twin reversal arterial perfusion with complex pathophysiology. Here authors present a case of acardiac twin pregnancy presented at 26 weeks with the ultrasonography report suggested?? Placental teratoma of size 11×11×13 cm with polyhydramnios as there was no reason to suspect something else as the picture described in the USG report with the polyhydramnios was fitting with the diagnosis of placental teratoma but as the scan was done at taluka place and the images provided were not clear authors decided to confirm the diagnosis from fetal medicine specialist as MTP was not the option for the patient as she was 28 weeks who confirmed that as a case of acardiac twin pregnancy and the case was managed accordingly.

Acardiac Twin with Externalized Intestine Adherent to Placenta: Unusual Manifestation of Omphalocele

2004 ◽  
Vol 7 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Shawn Clark Emery ◽  
Keith K. Vaux ◽  
Dolores Pretorius ◽  
Eliezer Masliah ◽  
Kurt Benirschke
Keyword(s):  
Blood Flow ◽  
Cardiac Development ◽  
Past Medical History ◽  
Significant Past Medical History ◽  
Maternal Complications ◽  
Unusual Manifestation ◽  
Arterial Perfusion ◽  
Acardiac Twin ◽  
Twin Reversed Arterial Perfusion ◽  
Normal Twin

TRAP (twin reversed arterial perfusion) syndrome produces an acardiac twin (acardiac monster, acardius, acardiacus, chorioangiopagus parasiticus, etc.). Acardiacs result from monozygotic multiple births in which three anatomic anomalies occur: (1) a fetus' cardiac development is disturbed; (2) artery–artery anastomosis carries blood from a normal (“pump”) twin to the acardiac; (3) vein–vein anastomosis carries blood from the acardiac back to the normal twin. Whether reversal of blood flow in the acardiac results from or causes cardiac dysmorphogenesis has not been resolved. Acardiac twins demonstrate a complex constellation of malformations usually thought to result from reversed blood flow; omphalocele is particularly common. We report monochorionic monoamnionic male twins in which an acardiac twin demonstrated externalized intestines adherent to the placenta. The twins were delivered from a 30-year-old primigravida mother by cesarean section without maternal complications at 33 w. The mother has no significant past medical history. The macerated acardius had a 4-cm long attenuated umbilical cord with indeterminate number of vessels. Structures rostral to the thorax were absent save for one poorly developed hand and arm. The abdomen contained loose mesenchyme and no organs. The entire intestine (21 cm) along with two testes was located in a sac on the surface of the placenta. No histopathologic anomalies of formed structures were identified aside from spatial relationships and incomplete development. The normal twin required no intensive care and is doing well. To our knowledge, this is the first report of externalized intestine, which may represent an unusual consequence of omphalocele.

scholarly journals Recurrent Acute Pancreatitis with Anomalous Pancreaticobiliary Ductal Union (Komi’s Type IIIc3) with Santorinocele in a Child: A Rare Case Report

2017 ◽  
Vol 08 (04) ◽  
pp. 196-198
Author(s):  
Vineet Mishra ◽  
A. J. Joseph ◽  
Amit Kumar Dutta ◽  
Sudipto Dhar Chowdhury ◽  
Reuben Thomas Kurien ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Rare Case ◽  
Recent Literature ◽  
Recurrent Acute Pancreatitis ◽  
Rare Case Report ◽  
Choice Of Treatment ◽  
Diagnostic Modalities

ABSTRACTAnomalous pancreaticobiliary ductal union (APBDU) can cause recurrent acute pancreatitis. We describe the case of a 16-year-old boy with recurrent acute pancreatitis. The discussion provides a review of recent literature, supporting use of various diagnostic modalities and surgery as choice of treatment.

TRAP) Secuencia de perfusión arterial reversa en embarazo gemelar monocoriónico con feto acárdico. Caso Clínico.

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Edwin Vargas Llerena ◽  
Severino Rey ◽  
German Herrera ◽  
Alexandra Robayo
Keyword(s):  
English Literature ◽  
Perinatal Outcomes ◽  
It Management ◽  
Second Trimester ◽  
Arterial Perfusion ◽  
Acardiac Twin ◽  
Trap Sequence ◽  
Twin Reversed Arterial Perfusion ◽  
Normal Twin ◽  
Made In

Objetive: Develop a review of the pathophysiology, diagnosis, treatment and management of reversed arterial perfusion.The reversed arterial perfusion sequence, known in English literature as TRAP sequence (twin reversed arterial perfusion (1), pathology associated with complications of monochorionic twin pregnancy, (2) is the absence of a well-defined cardiac structure on a twin (the acardiac twin), which is kept alive by his co-twin (the pump twin) through an arterial-arterial surface placental anastomosis. (3) the normal twin accompanying the acardiac has a mortality of 60% ; morbidity is mainly associated with congestive heart failure (4) while the acardiac twin has a mortality of 100% Apropos of a case reversed arterial perfusion syndrome TRAP diagnosed in the second trimester of pregnancy will be displayed and evaluate it. Management made in the service of Gynecology, service image and Pathology service and the associated perinatal outcomes. Keywords: acardic Fetus, perfusion sequence reversed arterial, sequence TRAP, monochorionic pregnancy twin

scholarly journals Monochorionic-diamniotic twin pregnancy complicated by twin reversed arterial perfusion sequence and retroplacental hematoma – a case report

2018 ◽  
Vol 20 (3) ◽  
pp. 396
Author(s):  
Andrei Mihai Malutan ◽  
Marina Dudea ◽  
Camelia Albu ◽  
Razvan Ciortea ◽  
Doru Diculescu ◽  
...  
Keyword(s):  
Twin Pregnancy ◽  
Female Fetus ◽  
Monochorionic Twin ◽  
Arterial Perfusion ◽  
Acardiac Twin ◽  
Trap Sequence ◽  
First Case ◽  
Retroplacental Hematoma ◽  
Twin Pregnancies ◽  
Twin Reversed Arterial Perfusion

Twin reversed arterial perfusion (TRAP) sequence is a rare and severe complication specific to monochorionic twin pregnancies, involving the presence of an acardiac twin and a structurally normal co-twin (pump twin). We report on the case of a33-year-old female with a biamniotic monochorionic twin pregnancy complicated with TRAP sequence and polyhydramnios. The patient underwent fetoscopic termination of the acardiac twin and at 34 gestational weeks (GW) was readmitted with aretroplacental hematoma. The patient gave birth through caesarean section to a living female fetus, weighing 1480 g. To the best of our knowledge, this is the first case reporting a twin pregnancy with TRAP sequence complicated with retroplacental hematoma.

scholarly journals Acardia anceps- A case report

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.

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