Introduction: Monochorial twin pregnancies are characterized by the presence of vascular connections between the twins. These connections can be at the origin of pathologies such as the transfused/transfuser syndrome or the TRAP syndrome which is defined as the association of a headless, acardiac twin with a healthy twin, which is the subject we will study and then review the literature.
The Clinical Case: The case of an acardiac, headless twin which was not diagnosed during pregnancy and was discovered at birth.
Discussion And Conclusion: The TRAP syndrome is a very rare phenomenon. Yet, it is crucial to diagnose it as early as possible during pregnancy so as to offer adequate supervision. It is associated to a high death rate in the healthy twin caused by anemia and heart failure. There are therapeutic means to stop vascular anostomoses between the twins so as to perform a selective feticide.
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http://dx.doi.org/10.1016/j.jgyn.2007.02.004 | DOI Listing |
J Clin Ultrasound
October 2024
Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Autops Case Rep
March 2024
West Virginia School of Osteopathic Medicine, Lewisburg, WV, United States.
Twin reversed arterial perfusion (TRAP) sequence is a rare complication of monochorionic twinning whereby a donor twin perfuses an acardiac twin via aberrant vascular anastomoses. The resulting paradoxical retrograde blood flow supplying the acardiac twin is oxygen-poor, leading to some of the most severe malformations encountered in humans. Though the first descriptions of acardiac twins date back to at least the 16 century, the pathophysiologic processes which underpin the development of TRAP sequence are still being elucidated.
View Article and Find Full Text PDFPak J Med Sci
January 2024
Rawda Yehia Al-Rudini Department of Radiology, Al-Thawra Modern General Hospital, Sana'a, Republic of Yemen.
Diagnostics (Basel)
September 2023
Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", Policlinico of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy.
The Twin Reversed Arterial Perfusion (TRAP) Sequence is an extremely rare complication of monochorionic twin pregnancies, with one severely malformed twin (the "acardiac") lacking autonomous placental blood supply and being perfused by the co-twin (the "pump"), through arterio-arterial (and sometimes also veno-venous) vascular anastomoses located on the placental surface. The prognosis is poor: mortality is 100% in the acardiac twin because of its severe malformations and about 50-55% in the pump twin, mainly due to heart failure and prematurity. So, the goal of perinatal management of the TRAP twin pregnancy is to deliver a healthy and near-term pump twin without heart failure or fetal hydrops.
View Article and Find Full Text PDFVet Sci
August 2023
Clinic of Medicine, Faculty of Veterinary Medicine, School of Health Sciences, University of Thessaly, Trikalon 224, 43100 Karditsa, Greece.
A review of congenital malformations in swine relating to abnormal twinning was carried out. The aim was to describe and estimate these defects. Among the recorded twins, the most common defect was the or .
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