Twin Reversed Arterial Perfusion: To Treat or Not?

• Published in: Journal of clinical and diagnostic research Vol. 11; no. 1; pp. QD05 - QD07
• Main Authors: Dubey, Sunita, Verma, Meesha, Goel, Poonam, Punia, Rps
• Format: Journal Article
• Language: English
• Published: India JCDR Research and Publications (P) Limited 01-01-2017; JCDR Research and Publications Private Limited
• Subjects: acardiac twin; monochorionic twin pregnancy; Obstetrics and Gynaecology Section; radiofrequency ablation in trap sequence; Monochorionic twin pregnancy; Acardiac twin; Radiofrequency ablation in TRAP sequence
• ISSN: 2249-782X; 0973-709X
• DOI: 10.7860/JCDR/2017/24400.9140

Acardiac twinning or Twin Reverse Arterial Perfusion (TRAP)-sequence is a rare complication of monochorionic twin pregnancy. Whether to start elective or therapeutic treatment in TRAP-sequence is still controversial. In the present case, acardiac twin was not diagnosed till her delivery at 39 weeks. A healthy baby weighing 2.45 kg was delivered along with another amorphous mass (acardiac twin) of about 150 g which was attached to the placenta with a short and separate cord. As outcome of normal twin vary according to the growth of acardiac twin, frequent follow-up of the normal twin is required to look for the features of heart failure. Hence, the diagnosis of acardiac twin is essential in early pregnancy.