title: Successful ablation of acardiac twin with Histoacryl.
abstract: OBJECTIVE
  Acardiac twin occurs in 1:35,000 pregnancies. Several techniques have been described to treat this condition. Some techniques have been suggested as golden standard; however, new are still being tried.
  
  
  METHODS
  This is a case of a 32-year-old patient who had successful ablation of the acardiac twin with Histoacryl. The diagnosis of the acardiac twin was made in the 11 weeks + 3 weeks of pregnancy. Due to the development of myocardial hypertrophy and pericardial transudate of the pumping fetus, we had performed ablation of the acardiac twin with Histoacryl in the 21 weeks' +5 weeks' gestation. The procedure was uneventful, and the healthy fetus had no signs of distress. In the 33 weeks' +5 weeks' gestation, she had Cesarean section due to distress of the healthy fetus. The female baby was healthy, weighing 2380 g, Apgar score 9/10. The mummified mass of acardiac fetus weighted 300 g. Nine months later, the child is doing well.
  
  
  CONCLUSIONS
  Histoacryl is suitable for the ablation of an acardiac twin. Further studies are needed to prove the efficacy of this technique.
authors.affiliation: Department of Gynaecology and Obstetrics, Comenius University, Bratislava, Slovakia.
authors.forename: Vladimír
authors.initials: V
authors.lastname: Ferianec
authors.affiliation: Department of Gynaecology and Obstetrics, Comenius University, Bratislava, Slovakia. Electronic address: mikulasredecha@yahoo.com.
authors.forename: Mikuláš
authors.initials: M
authors.lastname: Redecha
authors.affiliation: Department of Gynaecology and Obstetrics, Comenius University, Bratislava, Slovakia.
authors.forename: Peter
authors.initials: P
authors.lastname: Papcun
authors.affiliation: Department of Gynaecology and Obstetrics, Comenius University, Bratislava, Slovakia.
authors.forename: Marián
authors.initials: M
authors.lastname: Križko
authors.affiliation: Department of Gynaecology and Obstetrics, Comenius University, Bratislava, Slovakia.
authors.forename: Ivan
authors.initials: I
authors.lastname: Hollý
authors.affiliation: Department of Gynaecology and Obstetrics, Comenius University, Bratislava, Slovakia.
authors.forename: Karol
authors.initials: K
authors.lastname: Holomáň
mesh_terms: D055011:Ablation Techniques; D000015:Abnormalities, Multiple / Q000175:diagnosis; D000328:Adult; D004659:Enbucrilate / Q000627:therapeutic use*; D005260:Female; D005318:Fetal Heart / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D018607:Pregnancy Reduction, Multifetal / Q000379:methods*; D059285:Pregnancy, Twin; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016216:Ultrasonography, Prenatal
chemical_list: D014014:Tissue Adhesives; D004659:Enbucrilate
keywords: acardiac twin; fetal ablation; occlusion material (Hyalobarrier)