Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare case
Twin reversed arterial perfusion syndrome is a rare obstetric condition 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, t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332200111X |
| _version_ | 1818364489726164992 |
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| author | Suryansh Arora Nimisha Lohiya, MD Annu Singhal, MD, DNB Akhila Prasad, MD, DNB Aparna Katyal, MD, DNB |
| author_facet | Suryansh Arora Nimisha Lohiya, MD Annu Singhal, MD, DNB Akhila Prasad, MD, DNB Aparna Katyal, MD, DNB |
| author_sort | Suryansh Arora |
| collection | DOAJ |
| description | Twin reversed arterial perfusion syndrome is a rare obstetric condition 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, thereby putting the pump fetus at risk of high output cardiac failure. Overall only 50% of pump twins survive. Mortality for acardiac twin is 100%. We present a case of 26-year-old primigravida female presenting with 8 months of amenorrhea with unsure LMP. Ultrasonography followed by fetal MRI was carried out which revealed acardius acephalus twin with absence of blood flow in umbilical vessels. Pump twin had multicystic dysplastic left kidney with single umbilical artery. Following delivery, the pump twin survived well and the deformed fetus showed features of twin reversed arterial perfusion syndrome. |
| first_indexed | 2024-12-13T22:05:11Z |
| format | Article |
| id | doaj.art-38f8849853e74ee48dbdb8840d12ff2e |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-13T22:05:11Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-38f8849853e74ee48dbdb8840d12ff2e2022-12-21T23:29:53ZengElsevierRadiology Case Reports1930-04332022-05-0117515731578Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare caseSuryansh Arora0Nimisha Lohiya, MD1Annu Singhal, MD, DNB2Akhila Prasad, MD, DNB3Aparna Katyal, MD, DNB4Department of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi 110001, IndiaDepartment of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi 110001, IndiaCorresponding author.; Department of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi 110001, IndiaDepartment of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi 110001, IndiaDepartment of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi 110001, IndiaTwin reversed arterial perfusion syndrome is a rare obstetric condition 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, thereby putting the pump fetus at risk of high output cardiac failure. Overall only 50% of pump twins survive. Mortality for acardiac twin is 100%. We present a case of 26-year-old primigravida female presenting with 8 months of amenorrhea with unsure LMP. Ultrasonography followed by fetal MRI was carried out which revealed acardius acephalus twin with absence of blood flow in umbilical vessels. Pump twin had multicystic dysplastic left kidney with single umbilical artery. Following delivery, the pump twin survived well and the deformed fetus showed features of twin reversed arterial perfusion syndrome.http://www.sciencedirect.com/science/article/pii/S193004332200111XAcardiusAcephalusTRAPPump twinAcardiac twin |
| spellingShingle | Suryansh Arora Nimisha Lohiya, MD Annu Singhal, MD, DNB Akhila Prasad, MD, DNB Aparna Katyal, MD, DNB Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare case Radiology Case Reports Acardius Acephalus TRAP Pump twin Acardiac twin |
| title | Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare case |
| title_full | Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare case |
| title_fullStr | Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare case |
| title_full_unstemmed | Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare case |
| title_short | Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare case |
| title_sort | acardius acephalus with spontaneous umbilical cord occlusion reporting a rare case |
| topic | Acardius Acephalus TRAP Pump twin Acardiac twin |
| url | http://www.sciencedirect.com/science/article/pii/S193004332200111X |
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