Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy
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 r...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455920303053 |
| _version_ | 1818844989435674624 |
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| author | Yi-Yan Chen Chien-Chu Huang Chih-Yi Yang Tsan-Hung Chiu Ming Ho |
| author_facet | Yi-Yan Chen Chien-Chu Huang Chih-Yi Yang Tsan-Hung Chiu Ming Ho |
| author_sort | Yi-Yan Chen |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T05:22:31Z |
| format | Article |
| id | doaj.art-ea9e24245ae0483eaeb4659fc3963aea |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-19T05:22:31Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-ea9e24245ae0483eaeb4659fc3963aea2022-12-21T20:34:28ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592021-01-01601177180Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancyYi-Yan Chen0Chien-Chu Huang1Chih-Yi Yang2Tsan-Hung Chiu3Ming Ho4Department of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 404, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 404, Taiwan; Graduate Institution of Biomeidcal Sciences, China Medical University, No. 2, Yuh-Der Road, Taichung, 404, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 404, Taiwan; Department of Public Health, China Medical University, No. 2, Yuh-Der Road, Taichung, 404, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 404, Taiwan; Department of Medicine, China Medical University, No. 2, Yuh-Der Road, Taichung, 404, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 404, Taiwan; Department of Medicine, China Medical University, No. 2, Yuh-Der Road, Taichung, 404, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung, 404, Taiwan.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.http://www.sciencedirect.com/science/article/pii/S1028455920303053TRAPTwin-Reversed Arterial Perfusion sequenceAcardiac twinMonochorionic twin |
| spellingShingle | Yi-Yan Chen Chien-Chu Huang Chih-Yi Yang Tsan-Hung Chiu Ming Ho Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy Taiwanese Journal of Obstetrics & Gynecology TRAP Twin-Reversed Arterial Perfusion sequence Acardiac twin Monochorionic twin |
| title | Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy |
| title_full | Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy |
| title_fullStr | Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy |
| title_full_unstemmed | Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy |
| title_short | Twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy |
| title_sort | twin reversed arterial perfusion syndrome in a monochorionic monoamniotic twin pregnancy |
| topic | TRAP Twin-Reversed Arterial Perfusion sequence Acardiac twin Monochorionic twin |
| url | http://www.sciencedirect.com/science/article/pii/S1028455920303053 |
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