Twin Reversed Arterial Perfusion (TRAP) Syndrome or acardiac twin: a case report in Madagascar

Authors

  • Lyn Z. A. Rabetsimamanga Department of Obstetrics and Gynecology, Pavillon Sainte Fleur, University Hospital Center JRA, Antananarivo, Madagascar
  • Hary F. Rabarikoto Department of Obstetrics and Gynecology, Military Hospital Antsiranana, Madagascar
  • Maheriandrianina F. V. Rajaonarivony Department of Pediatric Surgery, Soavianandriana Hospital Center, Madagascar
  • Setriny M. Ravoavy Department of Obstetrics and Gynecology, Military Hospital Antsiranana, Madagascar
  • Hery R. Andrianampanalinarivo Departement of Obstetrics and Gynecology, University Hospital Center GOB, Antananarivo, Madagascar

DOI:

https://doi.org/10.18203/2320-6012.ijrms20181455

Keywords:

Acardiac twin, Madagascar, Twin reversed arterial perfusion syndrome, Ultrasound

Abstract

TRAP syndrome is a rare complication of monochorionic twin pregnancy. It is characterized by the association of an acardiac twin with a healthy twin. The acardiac twin is a parasite who put the healthy twin at high risk of cardiac failure. We report a case in a 25-year-old Malagasy woman, primigravida, who had a consultation at gestational week 31 for significant dyspnea and a threat of premature delivery. Ultrasound scans discovered an acute polyhydramnios, fetus with anasarca and low cardiac activity, and a para-fetal mass. She gives birth to a male newborn and an acardiac twin without head an upper body. The first twin died short time after birth.

References

Tayal T, Kaul A. Intrafetal Laser Ablation of Umbilical Vessels in Acardiac Twin with Successful Outcome. The Journal of Obstetrics and Gynecology of India. 2012;62(S1):S43-S45.

Guigue V, Schwetterle F, Arbez-Gindre B. The case of a nacardiac headless twin, review of the litterarure. J Gynécol Obstet α Biol Reprod. 2007;36:293-7.

Ferianec V, Redecha M, Papcun P, Križko M Jr, Hollý I, Holomáň K. Successful ablation of acardiac twin with Histoacryl. Taiwan J Obstet Gynecol. 2016;55(1):109-11.

Nigam A, Agarwal R, Saxena P, Barla J. Acardiac anceps: a rare congenital anomaly. BMJ Case Rep. 2014.

Anca FA, Negru A, Mihart AE, Grigoriu C, Bohîlțea RE, Șerban A. Special forms in twin pregnancy - ACARDIAC TWIN/ Twin reversed arterial perfusion (TRAP) sequence. Journal of Medicine and Life. 2014;8(4):517-22.

Moore TR, Gale S, Benirschke K. Perinatal outcome of forty-nine pregnancies complicated by acardiac twinning. Am J Obstet Gynecol. 1990;163:907-12.

Kalyani R, Bindra MS. Twin Reversed Arterial Perfusion Syndrome (TRAP or Acardiac Twin)-A Case Report. J Clin Diagn Res. 2014;8(1):166-7.

Hecher K, Hackeloer BJ, Ville Y. Umbilical cord coagulation by operative microendoscopy at 16 weeks’ gestation on acardiac twin. Ultrasound Obstet Gynécol. 1997;10:130-2.

Downloads

Published

2018-04-25

How to Cite

Rabetsimamanga, L. Z. A., Rabarikoto, H. F., Rajaonarivony, M. F. V., Ravoavy, S. M., & Andrianampanalinarivo, H. R. (2018). Twin Reversed Arterial Perfusion (TRAP) Syndrome or acardiac twin: a case report in Madagascar. International Journal of Research in Medical Sciences, 6(5), 1790–1792. https://doi.org/10.18203/2320-6012.ijrms20181455

Issue

Section

Case Reports