title: [Acardius in twin pregnancy].
abstract: The acardius is a rare but severe congenital anomaly. It occurs only in the context of multiple pregnancies and vascular anastomosis between the involved fetus and a multiple in cases of monochorionic placenta. The prenatal diagnosis of an acardius always has to be presumed in a multiple pregnancy within which a twin pair grow whenever cardiac activity can not be proved echographically. We present an acardius in a spontaneous twin pregnancy and discuss--based upon literature research--pathogenetic mechanisms, pathologic-anatomic and echographic conditions as well as therapeutic approaches in favor of the healthy multiple.
authors.affiliation: Geburtshilflich-gynäkologische Abteilung, Schweizerische Pflegerinnenschule Zürich.
authors.forename: J
authors.initials: J
authors.lastname: Kunz
authors.forename: M
authors.initials: M
authors.lastname: Arnaboldi
mesh_terms: D009008:Abnormalities, Severe Teratoid / Q000473:pathology; D002585:Cesarean Section; D005260:Female; D006330:Heart Defects, Congenital / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011295:Prenatal Care; D014427:Twins
vernacular_title: Acardiacus bei Zwillingsschwangerschaft.