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

doi:10.18203/2320-6012.ijrms20181455

Authors

Lyn Z. A. Rabetsimamanga Department of Obstetrics and Gynecology, Pavillon Sainte Fleur, University Hospital Center JRA, Antananarivo, Madagascar
Hary F. Rabarikoto Department of Obstetrics and Gynecology, Military Hospital Antsiranana, Madagascar
Maheriandrianina F. V. Rajaonarivony Department of Pediatric Surgery, Soavianandriana Hospital Center, Madagascar
Setriny M. Ravoavy Department of Obstetrics and Gynecology, Military Hospital Antsiranana, Madagascar
Hery R. Andrianampanalinarivo Departement of Obstetrics and Gynecology, University Hospital Center GOB, Antananarivo, Madagascar

DOI:

https://doi.org/10.18203/2320-6012.ijrms20181455

Keywords:

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

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.

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