DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20181455

Twin Reversed Arterial Perfusion (TRAP) Syndrome or acardiac twin: a case report in Madagascar

Lyn Z. A. Rabetsimamanga, Hary F. Rabarikoto, Maheriandrianina F. V. Rajaonarivony, Setriny M. Ravoavy, Hery R. Andrianampanalinarivo

Abstract


TRAP syndrome is a rare complication of monochorionic twin pregnancy. It is characterized by the association of an acardiac twin with a healthy twin. The acardiac twin is a parasite who put the healthy twin at high risk of cardiac failure. We report a case in a 25-year-old Malagasy woman, primigravida, who had a consultation at gestational week 31 for significant dyspnea and a threat of premature delivery. Ultrasound scans discovered an acute polyhydramnios, fetus with anasarca and low cardiac activity, and a para-fetal mass. She gives birth to a male newborn and an acardiac twin without head an upper body. The first twin died short time after birth.


Keywords


Acardiac twin, Madagascar, Twin reversed arterial perfusion syndrome, Ultrasound

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References


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