Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2017 | Month : January | Volume : 11 | Issue : 1 | Page : QD05 - QD07

Twin Reversed Arterial Perfusion: To Treat or Not? QD05-QD07

Sunita Dubey, Meesha Verma, Poonam Goel, RPS Punia

Dr. Sunita Dubey,
1202 B, Sector 32B, Government Medical College and Hospital Campus, Chandigarh-160030, India.

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.