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A Case of Trap Sequence (Acardiac Twin) Treatment with Conservatively

Cilt: 44 Sayı: 2 30 Haziran 2022
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A Case of Trap Sequence (Acardiac Twin) Treatment with Conservatively

Abstract

TRAP sequence (twin reversed arterial perfusion) is a complication with a poor prognosis, seen only in monochorionic twin pregnancies, known as acardiac twin formation1. In the very early stages of the formation periods of twin pregnancies, as a result of the single formation of the placenta and the defective formation of the cord vessels of the second baby (acardiac twin), the heart and accordingly the brain development cannot occur in the baby with placenta abnormalities; but other parts of the body can develop in different combinations. Therefore, the second baby can develop from a separate creature to the other baby as a parasite. The normal twin, is known as the pump twin and provides the blood circulation of the acardiac twin. These inter twin anastomoses lead to circulatory confusion, the reverse circulatory morphogenesis interrupted and acardiac twinning occurs2. This case is presented because the patient had a healthy twin who was born due to the onset of preterm labor that was not terminated at the request of the family, and the other twin with acardiac anencephaly. Ablation treatment could not be performed due to the delay in our case, and the pump twin was delivered in a healthy way.

Keywords

Kaynakça

  1. 1)Akercan et al. (2009). ‘’Trap (twin reversed arterial perfusion) sekansı’’. Ege Tıp Dergisi, 48 (2): 123-126 http://egetipdergisi.com.tr/tr/download/article-file/350384
  2. 2)Etit et al. (2004). ‘’ TRAP (Twin Reversed Arterial Perfusion) Sendromu’’. Perinatoloji Dergisi Cilt:12, Sayı:1 https://www.perinataldergi.com/Files/Archive/tr-TR/Articles/PD-2004012109.pdf
  3. 3) Annachiara Vitucci et al. (2019). Division of Obstetrics and Gynecology, ASST Spedali Civili, Department of Clinical and Experimental Sciences, Brescia Üniversitesi, Brescia: İtalya [Elde Edilme Tarihi: 20 Mayıs 2020] https://www.dovepress.com/twin-reversed-arterial-perfusion-sequence-current-treatment-options-peer-reviewed-fulltext-article-IJWH
  4. 4) Buyukkaya A, Guven T, Buyukkaya R. Twin Reversed Arterial Perfusion (TRAP) Sequence; Characteristic Gray-Scale and Doppler Ultrasonography Findings. Iranian Journal of Radiology https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632132/
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  7. 7)Weisz B, Peltz R, Chayen B, Oren M, Zalel Y, Achiron R, et al. Tailored management of twin reversed arterial perfusion (TRAP) sequence. Ultrasound Obstet Gynecol 2004; 23:451-5. https://www.uptodate.com/contents/diagnosis-and-management-of-twin-reversed-arterial-perfusion-trap-sequence?search=trap%20sequence&source=search_result&selectedTitle=1~8&usage_type=default&display_rank=1
  8. 8) Das K. Acardiacus anceps. J Obstet Gynaecol Br Emp 1902; 2: 34 1-35.5.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Olgu Sunumu

Yazarlar

İsmail Yaman
0000-0001-8949-9052
Türkiye

Yayımlanma Tarihi

30 Haziran 2022

Gönderilme Tarihi

29 Nisan 2022

Kabul Tarihi

30 Haziran 2022

Yayımlandığı Sayı

Yıl 2022 Cilt: 44 Sayı: 2

DOI

https://doi.org/10.7197/cmj.1110498

IZ

https://izlik.org/JA94SG26PX

Kaynak Göster

RIS / Bibtex
AMA
1.Beğendik RŞ, Yaman İ, Kurt B, Yurtçu N. A Case of Trap Sequence (Acardiac Twin) Treatment with Conservatively. CMJ. 2022;44(2):223-227. doi:10.7197/cmj.1110498