title: Acardiac acephalic twin gestation with transposition of great arteries in pump twin.
abstract: We report here a case of twin reversed arterial perfusion sequence with transposition of great arteries in the pump twin. Color Doppler and fetal echocardiographic examination revealed an acardiac, anencephalic twin without upper limbs and a pump twin with transposition of great arteries. To our knowledge despite multiple anomalies reported in the acardiac twin, major anomalies, especially of a cardiac type are extremely rare and not reported in the pump twin, which maintains circulation. Management is directed at saving the pump fetus; therefore, we believe that during sonographic exam, emphasis should be placed on associated organ anomalies or complications that may hamper viability of the pump.
authors.affiliation: Ankara University School of Medicine, Department of Obstetrics and Gynecology, 06100 Ankara, Turkey. kustuner@hotmail.com
authors.forename: Işik
authors.initials: I
authors.lastname: Ustüner
authors.forename: Erhan
authors.initials: E
authors.lastname: Simşek
authors.forename: Korhan
authors.initials: K
authors.lastname: Kahraman
authors.forename: Bora
authors.initials: B
authors.lastname: Cengiz
authors.forename: Acar
authors.initials: A
authors.lastname: Koç
mesh_terms: D000328:Adult; D000757:Anencephaly / Q000196:embryology; D004200:Diseases in Twins / Q000196:embryology* / Q000628:therapy; D005260:Female; D005330:Fetofetal Transfusion / Q000196:embryology*; D006330:Heart Defects, Congenital / Q000196:embryology*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D014188:Transposition of Great Vessels / Q000196:embryology*; D016216:Ultrasonography, Prenatal