Twin reversed arterial perfusion sequence
Joint Authors
al-Jufayri, Zaynab Ali Abd Allah
Mahmud, Nuaymah A. A.
al-Jufayri, Huda Jafar
Source
Issue
Vol. 33, Issue 1 (31 Mar. 2011), pp.1-9, 9 p.
Publisher
King Hamad University Hospital
Publication Date
2011-03-31
Country of Publication
Bahrain
No. of Pages
9
Main Subjects
Topics
Abstract EN
Background : Twin-Reversed Arterial Perfusion (TRAP) is a rare complication of monochorionic twins with a prevalence of 1 in 35,000 pregnancies.
It is characterized by a structurally normal twin pump perfusing an anomalous recipient twin via an artery-to-artery anastomosis in a reverse direction.
Objective : To highlight Twin-Reversed Arterial Perfusion sequence and its clinical variable presentation.
Design : Prospective review.
Setting : Obstetrics and Gynecology Department, Salmaniya Medical Complex (SMC).
Method : All patients with TRAP sequence, diagnosed by ultrasound were followed up until delivery.
Clinical presentation, ultrasound findings, outcome and management were reviewed.
Result : Three patients with a diagnosis of TRAP sequence who had been managed conservatively were included in the study.
The first two patients had amorphous acardius and presented with polyhydramnios and both had favorable outcomes for the surviving twin.
The third case was a triplet pregnancy, which ended unfortunately with extreme prematurity at 23 weeks of gestation of acephalus acardius and two normal fetuses.
Conclusion : TRAP sequence is a rare complication of monochorionic twins.
Accurate antenatal diagnosis is essential to improve the prognosis of this rare entity.
American Psychological Association (APA)
al-Jufayri, Zaynab Ali Abd Allah& Mahmud, Nuaymah A. A.& al-Jufayri, Huda Jafar. 2011. Twin reversed arterial perfusion sequence. Bahrain Medical Bulletin،Vol. 33, no. 1, pp.1-9.
https://search.emarefa.net/detail/BIM-602205
Modern Language Association (MLA)
al-Jufayri, Zaynab Ali Abd Allah…[et al.]. Twin reversed arterial perfusion sequence. Bahrain Medical Bulletin Vol. 33, no. 1 (Mar. 2011), pp.1-9.
https://search.emarefa.net/detail/BIM-602205
American Medical Association (AMA)
al-Jufayri, Zaynab Ali Abd Allah& Mahmud, Nuaymah A. A.& al-Jufayri, Huda Jafar. Twin reversed arterial perfusion sequence. Bahrain Medical Bulletin. 2011. Vol. 33, no. 1, pp.1-9.
https://search.emarefa.net/detail/BIM-602205
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 8-9
Record ID
BIM-602205