Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (1): 157-158    DOI: 10.12891/ceog4317.2019
Case Report Previous articles | Next articles
Diagnosis, evaluation, and delivery of primipara with twin reversed arterial perfusion (TRAP) syndrome
V. Paunović 1, M. Zamurović1, *(), T. Paunović1, Z. Protrka2
1 University Clinic for Obstetrics and Gynecology “Narodni front”, Belgrade, Serbia
2 University Clinical Centar, Kragujevac, Serbia
Download:  PDF(328KB)  ( 187 ) Full text   ( 6 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
Тwin reversed arterial perfusion (TRAP) sequence is a rare complication in monochorionic twin pregnancy. It is the most serious type of transfusion syndrome (ТТТS). One twin has serious malformations, and due to the fact that the heart is almost always missing, it is often called acardiacus. TRAP sequence is present in less than 1% of monochorionic pregnancies, while the incidence compared to normal pregnancies is one in 35,000 pregnancies. This paper presents the diagnostics, evaluation, and completion of pregnancy in a primipara with twin pregnancy complicated by the ТRAP syndrome.
Key words:  TRAP syndrome      Twins      Acardiacus     
Published:  10 February 2019     
*Corresponding Author(s):  M. ZAMUROVIC     E-mail:  mzamurovic@gmail.com

Cite this article: 

V. Paunović, M. Zamurović, T. Paunović, Z. Protrka. Diagnosis, evaluation, and delivery of primipara with twin reversed arterial perfusion (TRAP) syndrome. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 157-158.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4317.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I1/157

[1] Midori Fujisaki, Seishi Furukawa, Hiroshi Sameshima. Twin amniotic fluid discordance below 26 weeks of gestation for predicting adverse outcomes[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 53-58.
[2] L. Mamas, E. Mamas. Prophylactic cervical cerclage, fully embedded, for twin pregnancies following fertility treatment[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 238-242.
[3] J.Y. Lee, H.-H. Cha, W.J. Seong. Management of monochorionic monoamniotic twins: case reports and a review of literatures[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 910-912.
[4] K. Lachowski, M. Lachowska, D. Paluszyńska, B. Królak-Olejnik. Two-headed twin in a triplet pregnancy after in vitro fertilization – A case report and review of the literature [J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(5): 782-786.
[5] Q.H. Xu, Z.L. Wei, H.F. Xiang, Y.X. Cao. Conjoined twins after frozen embryo transfer: a case report and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 637-641.
[6] J.H. Check. A normal baby is possible despite twins following a single embryo transfer even if one twin is genetically defective[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 185-186.
[7] M.P. Biso, P. Sala, V.G. Vellone, G. Minetti, C.R. Gaggero, M. Foppiano, E. Fulcheri, P. De Biasio. Virtopsy in conjoined ischiopagus twins[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 288-291.
[8] H. Yu, W. Sun, Q. Yao, A. Xing. Selective termination in discordant twin pregnancy with early onset preeclampsia: case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2015, 42(5): 696-697.
[9] J. Zhang, T. Yang, X. Wang, H. Yu. Successful management of discordant alobar holoprosencephaly in monochorionic diamniotic twins with normal karyotype: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2015, 42(1): 114-116.
[10] F. Louwen, I. Antwerpen, T. Ernst, L. Reichenbach, A. Reitter, E. Herrmann, J. Yuan, J. Reinhard. Outcome in single and twin pregnancies at 20 to 24 weeks gestation: ten years experience in one perinatal center[J]. Clinical and Experimental Obstetrics & Gynecology, 2013, 40(3): 342-344.
[11] S. Plešinac, B. Kastratović Kotlica, S. Akšam, I. Babović, I. Pilić. Platelet count as a predictive factor of neonatal outcome in twin pregnancy with fetal demise[J]. Clinical and Experimental Obstetrics & Gynecology, 2013, 40(2): 268-270.
[12] P. Pinidis, E.N. Kontomanolis, T. Mylonas, A. Georgiadis, S. Kokkoris, G. Galazios. Vanishing twins in diamniotic dichorionic in vitro fertilization gestation in mid-second trimester[J]. Clinical and Experimental Obstetrics & Gynecology, 2013, 40(2): 286-288.
[13] B. Katsoff, J. H. Check. Monochorionic-diamniotic twins resulting from the transfer of a single embryo in a woman with decreased egg reserve: A case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2005, 32(2): 141-142.
[14] Y. Jacquemyn L. Noelmans. Twin versus singleton pregnancy and preterm prelabour rupture of the membranes[J]. Clinical and Experimental Obstetrics & Gynecology, 2003, 30(2-3): 99-102.
[15] J. T. Awwad M. EIHajj, I. Usta, A. Nassar, S. T. Awwad, A. Khalil. A unilateral twin extrauterine pregnancy occurring in a solitary fallopian tube: therapeutic choices[J]. Clinical and Experimental Obstetrics & Gynecology, 2002, 29(1): 67-68.
No Suggested Reading articles found!