[Monochorionic, diamniotic triplet pregnancy complicated by twin reversed arterial perfusion sequence. Postpartum autopsy of placenta and acardiac fetus].
The twin reversed-arterial-perfusion sequence (TRAP) is a severe complication of monochorionic twin pregnancies characterized by the hemodynamic dependence of a "recipient" twin from a "pump" twin. The recipient twin exhibits lethal abnormalities including acardia and acephaly. The pump twin has a mortality rate of 50% as a result of high-output heart failure. We present a case of a 24-year-old female, gravida 2, para 2, with monochorionic diamniotic triplet pregnancy. The sonographic examination at 18 weeks' gestation revealed acardiac-acephalus fetus. Reversed arterial perfusion sequence was confirmed with Doppler sonography. Postpartum autopsy examination of placenta and acardiac fetus (acardius anceps) was detailed described.
Malinowski
Witold
W
Katedra Perinatologii Instytutu Kształcenia Medycznego Akademii Swietokrzyskiej, Kiclcach.
Szwalski
Jarosław
J
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging; D000328:Adult; D000757:Anencephaly / Q000000981:diagnostic imaging; D001344:Autopsy; D005260:Female; D005313:Fetal Death; D005330:Fetofetal Transfusion / Q000000981:diagnostic imaging; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D014310:Triplets; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal