Rare case of acardiac Monster in TRAP (Twin Reversed Arterial Perfusion: MRI and USG findings
نویسندگان
چکیده
The twin reversed arterial perfusion (TRAP) sequence is a rare complication of 1% of monochorionic twin gestation with an incidence of 1 in 35,000 births. One twin is structurally normal while the other is abnormal with development of legs and lower body and undeveloped thorax, head and heart. The abnormal twin also referred as Acardiac monster twin receives its blood supply from normal or the pump twin andcontinues to develop putting the normal fetus at risk from high output cardiac failure Mortality of the pump twin is 50-75% usually due to the result of heart failure and mortality of the acardiac monster twin is 100%.Our patient was Primigravida who was 29 weeks pregnant with increased uterine height. Ultrasonography and color Doppler study revealed monoamnioticmonochorionic twin gestation with one structurally normal fetus and other acardiusacephalic fetus with TRAP sequence. MRI confirmed the diagnosis.The patient was referred to higher centre. Early diagnosis and proper management is vital to save the normal pump fetus
منابع مشابه
Acardiac Twin: A Rare Case Report
Twin reversed arterial perfusion sequence (TRAP), refers to a rare, unique complication of mono-chorionic twin pregnancy in which a twin with an absent or a nonfunctioning heart (acardiac twin) is perfused by its co-twin (pump twin) via placental arterial anastomoses. The acardiac twin usually has a poorly developed heart, upper body and head. The pump twin is at risk of heart failure and probl...
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Twin reversed arterial perfusion (TRAP) syndrome is a rare condition (0.3:10,000 births) that occurs in monochorionic twin pregnancies, resulting in coexistence of a normal "pump" twin and an acardiac twin. The acardiac twin is dependent upon the normal twin to provide circulation by means of vascular anastomosis. Many of the bizarre defects are felt to be caused by low oxygen tension and this ...
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