학술논문
Radiofrequency Ablation and Intrauterine Transfusion in a Delayed Diagnosed Acardiac Twin Pregnancy.
Document Type
Report
Author
Rahimi-Sharbaf F; Department of Obstetrics and Gynecology, Maternal Fetal and Neonatal Research Center, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Shirazi M; Department of Obstetrics and Gynecology, Maternal Fetal and Neonatal Research Center, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Hessami K; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.; Saleh M; Department of Obstetrics and Gynecology, Maternal Fetal and Neonatal Research Center, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Golshahi F; Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Saeedi S; Department of Obstetrics and Gynecology, Maternal Fetal and Neonatal Research Center, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Shirdel Abdolmaleki A; Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.; Mousavi Vahed SH; Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Mashhad, Iran.; Nouri B; Department of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.; Sahebdel B; Department of Obstetrics and Gynecology, Maternal Fetal and Neonatal Research Center, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Source
Publisher: Hindawi Pub. Corp Country of Publication: United States NLM ID: 101576454 Publication Model: eCollection Cited Medium: Print ISSN: 2090-6684 (Print) Linking ISSN: 20906692 NLM ISO Abbreviation: Case Rep Obstet Gynecol Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2090-6684
Abstract
Twin reversed arterial perfusion (TRAP) sequence or acardiac twin is a rare and severe complication of monochorionic multiple pregnancies. Acardiac twin accounts for 10% of all TRAP sequences, which is the most morphologically developed acardius. We present an undiagnosed TRAP sequence case up to 24 weeks of gestation who underwent successful amnioreduction, radiofrequency ablation (RFA), and intrauterine transfusion (IUT). During follow-up, hydrops of surviving co-twin disappeared, and fetal heart function improved. Finally, a healthy girl weighing 2400 g was born at 36 weeks of gestation. To our knowledge, this is the first reported acardiac twin pregnancy, which requires IUT, in addition to RFA, due to late diagnosis. Therefore, this case report presents successful management options for TRAP sequence cases diagnosed late in pregnancy.
Competing Interests: The author(s) declare(s) that they have no conflicts of interest.
(Copyright © 2023 Fatemeh Rahimi-Sharbaf et al.)
Competing Interests: The author(s) declare(s) that they have no conflicts of interest.
(Copyright © 2023 Fatemeh Rahimi-Sharbaf et al.)