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[Acardiac headless twin: a case report and review of the literature].
- Source :
-
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [Arch Pediatr] 2010 Mar; Vol. 17 (3), pp. 253-7. Date of Electronic Publication: 2009 Dec 09. - Publication Year :
- 2010
-
Abstract
- Introduction: Monochorial twin pregnancies are characterised by the presence of vascular connections between the twins. These connections can be the cause of pathologies such as the twin-twin transfusion syndrome or the TRAP syndrome, which is defined as the association of a headless, acardiac twin with a healthy twin.<br />Case Report: The case of an acardiac, headless twin diagnosed during pregnancy at 24 weeks of amenorrhea is described.<br />Discussion: An acardiac headless twin is a rare phenomenon. Yet early diagnosis is crucial during pregnancy to provide adequate monitoring. It is associated with a high death rate in the healthy twin caused by anaemia and heart failure. Therapeutic resources involve interruption of vascular anostomoses between the twins in order to perform a selective feticide.<br />Conclusion: Treatment of acardiac headless twin pregnancy ranges from obstetric abstentionism to interventionism, which depends on the prognosis for the healthy twin, dominated by the risk of preterm birth and heart failure.<br /> (Copyright 2009. Published by Elsevier SAS.)
- Subjects :
- Adult
Anencephaly pathology
Cesarean Section
Diseases in Twins pathology
Female
Fetus pathology
Follow-Up Studies
Humans
Male
Placenta pathology
Pregnancy
Pregnancy Trimester, Second
Umbilical Arteries abnormalities
Umbilical Arteries pathology
Anencephaly diagnostic imaging
Diseases in Twins diagnostic imaging
Heart Defects, Congenital diagnostic imaging
Ultrasonography, Prenatal
Subjects
Details
- Language :
- French
- ISSN :
- 1769-664X
- Volume :
- 17
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
- Publication Type :
- Academic Journal
- Accession number :
- 20004560
- Full Text :
- https://doi.org/10.1016/j.arcped.2009.11.004