Acardian and headless fetus: Twin reversed arterial perfusion sequence. A case report
The reverse arterial perfusion sequence is a complication of monochorionic twin pregnancy, occurring in 1 in 35,000. In this anomaly, artery-artery vascular anastomoses occur in the placental bed, forming a pump twin with high arterial perfusion pressure and a completely aardic recipient twin. Morta...
| Autores: | , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | Perú |
| Institución: | Instituto Nacional Materno Perinatal |
| Repositorio: | Revista Peruana de Investigación Materno Perinatal |
| Idioma: | español |
| OAI Identifier: | oai:investigacionmaternoperinatal.inmp.gob.pe:article/257 |
| Acceso en línea: | https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/257 |
| Access Level: | acceso abierto |
| Palabra clave: | Secuencia de perfusión arterial reversa en gemelos Embarazo Gemelo acárdico Gemelos monocoriónicos Twin reversed arterial perfusion sequence Pregnancy Acardiac twin Monochorionic twins |
| Sumario: | The reverse arterial perfusion sequence is a complication of monochorionic twin pregnancy, occurring in 1 in 35,000. In this anomaly, artery-artery vascular anastomoses occur in the placental bed, forming a pump twin with high arterial perfusion pressure and a completely aardic recipient twin. Mortality is probably from heart failure and anemia that occurs early in pregnancy. We present a case of acardiac and headless fetus in a twin pregnancy in a 22- year-old patient, the product of a 36-week-one-day biamnitic monochorial twin gestation, attended the emergency room due to loss of amniotic fluid and absence of cardiac activity in a twin. Prenatal diagnosis of reverse arterial perfusion sequence in twins is essential to improve prognosis. |
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