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Radiofrequency Ablation and Intrauterine Transfusion in a Delayed Diagnosed Acardiac Twin Pregnancy Publisher



Rahimisharbaf F1 ; Shirazi M1 ; Hessami K2 ; Saleh M1, 3 ; Golshahi F3 ; Saeedi S1 ; Shirdel Abdolmaleki A4 ; Mousavi Vahed SH5 ; Nouri B6 ; Sahebdel B1
Authors

Source: Case Reports in Obstetrics and Gynecology Published:2023


Abstract

Twin reversed arterial perfusion (TRAP) sequence or acardiac twin is a rare and severe complication of monochorionic multiple pregnancies. Acardiac twin accounts for 10% of all TRAP sequences, which is the most morphologically developed acardius. We present an undiagnosed TRAP sequence case up to 24 weeks of gestation who underwent successful amnioreduction, radiofrequency ablation (RFA), and intrauterine transfusion (IUT). During follow-up, hydrops of surviving co-twin disappeared, and fetal heart function improved. Finally, a healthy girl weighing 2400 g was born at 36 weeks of gestation. To our knowledge, this is the first reported acardiac twin pregnancy, which requires IUT, in addition to RFA, due to late diagnosis. Therefore, this case report presents successful management options for TRAP sequence cases diagnosed late in pregnancy. © 2023 Fatemeh Rahimi-Sharbaf et al.
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