1. Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy
- Author
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Tsan Hung Chiu, Chien-Chu Huang, Yi-Yan Chen, Ming Ho, and Chih-Yi Yang
- Subjects
Pregnancy ,Polyhydramnios ,medicine.medical_specialty ,Fetus ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics ,Twin reversed arterial perfusion ,Obstetrics and Gynecology ,Gestational age ,Twin-Reversed Arterial Perfusion sequence ,Acardiac twin ,medicine.disease ,lcsh:Gynecology and obstetrics ,Multiple Gestation ,TRAP ,Monochorionic twin ,03 medical and health sciences ,0302 clinical medicine ,Breech presentation ,Medicine ,business ,Twin Pregnancy ,lcsh:RG1-991 - Abstract
Objective Twin-Reversed Arterial Perfusion (TRAP) sequence is a rare complication of monochorionic multiple gestation. Conservative management should be considered if there is no poor prognostic factor. Case report This is a 35 year-old female with twin pregnancy with acardiac monster. Under the request of the patient, there was no intervention during the whole pregnancy. We keep regular and close sonography weekly follow up. There was no maternal complication and there was also no heart failure sign or polyhydramnios of the donor twin. Minimal blood flow was noted at the anastomotic vessels under the sonography at late gestational age. Due to breech presentation, cesarean section was performed at gestational age 37 + 1/7 weeks. She delivers a healthy baby smoothly. Conclusion Antenatal sonography is an important tool to evaluate the fetus status. Under special condition, term pregnancy is still possible without any treatment. Case report Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy.
- Published
- 2021