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CC BY-NC-ND 4.0 · AJP Rep 2024; 14(03): e224-e227
DOI: 10.1055/a-2384-8058
Case Report

Rare Case of Twin Reversed Arterial Perfusion Acardius Acephalus Subtype Seen in a Community-Based Hospital

Laura Reguero Cadilla
1   Department of Obstetrics and Gynecology, Wyckoff Heights Medical Center, Brooklyn, New York
,
Carlos Villafuerte Santana
1   Department of Obstetrics and Gynecology, Wyckoff Heights Medical Center, Brooklyn, New York
,
Nicolle Centazzo
2   Department of Pediatrics, Wyckoff Heights Medical Center, Brooklyn, New York
,
Daniel Faustin
1   Department of Obstetrics and Gynecology, Wyckoff Heights Medical Center, Brooklyn, New York
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Abstract

Background TRAP sequence occurs in monochorionic pregnancies consisting of one normal fetus and a non-viable fetus. The pump twin has an increased risk of developing high-output cardiac failure.

Case 32-year-old G4P2012 with TRAP syndrome in current pregnancy presented to triage at 26 weeks with contractions and spotting. She had undergone RFA for selective reduction at another facility. Placental abruption was suspected and patient underwent a cesarean section. Twin A was delivered alive although she subsequently succumbed due to complications of prematurity.

Conclusion This case highlights the importance of early detection and consistent prenatal care in the management of TRAP sequence. Further research of interventions associated with improved outcomes should be encouraged.

Keywords

TRAP - complications - monochorionic monoamniotic twin - fetal


Publication History

Received: 07 April 2024

Accepted: 04 August 2024

Accepted Manuscript online:
12 August 2024

Article published online:
10 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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