Twin reversed arterial perfusion syndrome.
Twin reversed arterial perfusion (TRAP) syndrome is a rare but severe complication of monozygotic monochorionic twin pregnancies. The outcome is invariably fatal for the abnormal twins and for 50-75% of the normal co-twins. The prenatal diagnosis of the TRAP always has to be presumed in a multiple pregnancy within which a twin pair grows whenever cardiac activity can not be proved echographically. We present discuss--based upon literature research--pathogenic mechanisms, pathologic-anatomic, echographic diagnosis and management of these high-risk pregnancies.
Malinowski
W
W
Department of Obstetrics and Gynaecology, Kutno Hospital, Poland.
Wierzba
W
W
D018376:Cardiovascular Abnormalities / Q000000981:diagnostic imaging / Q000196:embryology* / Q000401:mortality; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging* / Q000401:mortality; D006801:Humans; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D013577:Syndrome; D014430:Twins, Monozygotic; D016216:Ultrasonography, Prenatal