Twin Reversed Arterial Perfusion Syndrome (TRAP or Acardiac Twin)- A Case Report
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 vasc...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/3965/51-7012_CE[Ra]_F(DK)_PF1(RAK)_PFA(H).pdf |
| Summary: | 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 causes
dramatic alteration in the twin fetal physiology and high prenatal mortality. The acardiac twin is a parasite, putting the pump fetus at risk
of high output cardiac failure. Overall only 50% of pump twins survive. We present a case in a twenty year female, gravida two, para one,
living one, full term normal pregnancy, ultrasound showed twin pregnancy. Following delivery, the first fetus survived only for one day and
the second fetus showed features of TRAP syndrome. |
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| ISSN: | 2249-782X 0973-709X |