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Observations and Remarks on Three Cases of TRAP Sequence

Published online by Cambridge University Press:  01 August 2014

E. Fulcheri*
Affiliation:
Institutes of Pathological Anatomy and Histology, Genoa
C. Carli
Affiliation:
Institute of Pathological Anatomy and Histology, Hospital of Sampierdarena, Genoa
G. Garlaschi
Affiliation:
Radiology, University of Genoa
S. Malvasio
Affiliation:
Obstetrics and Gynecology, University of Genoa, Genoa
M.F. Pantarotto
Affiliation:
Obstetrics and Gynecology, University of Genoa, Genoa
A. Badini
Affiliation:
Obstetrics and Gynecology, University of Genoa, Genoa
*
Istituto di Anatomia e Istologia, Patologica dell'Università di Genova, Via De Toni 14, 16132 Genova, Italia

Abstract

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Three cases of acardius amorphus with twin reversed arterial perfusion (TRAP) sequences are reported and the histomorphological and clinical aspects are discussed. The patho-physiology of the twin pump is briefly described. Precise prenatal assessment of the morphology of the acardius is recommended for an accurate monitoring of the perfuser in order to plan proper fetal therapy and timing for delivery.

Type
Oral Communications and Poster Abstracts
Copyright
Copyright © The International Society for Twin Studies 1994

References

REFERENCES

1. Fries, MH, Goldberg, JD, Golbus, MS (1992): Treatment of acardiac-acephalus twin gestations by hysterectomy and selective delivery. Obstet Gynecol 79:601604.Google Scholar
2. Fusi, L, Fisk, N, Talbert, D, Gau, G, Rodeck, C (1990): When does death occur in an acardiac twin? Ultrasound diagnostic difficulties. J Perinat Med 18:223227.Google Scholar
3. Harrison, SD, Cyr, DR, Patten, RM, Mack, LA (1993): Twin growth problems: causes and sonographic analysis. Semin Ultrasound CT-MR 14:5667.CrossRefGoogle ScholarPubMed
4. Lachman, R, McNabb, M, Furmanski, M, Karp, L (1980): The acardiac monster. Eur J Pediatr 134:195200.CrossRefGoogle ScholarPubMed
5. Moore, TR, Gale, S, Benirschke, K (1990): Perinatal outcome of forty-nine pregnancies complicated by acardiac twinning. Am J Obstet Gynecol 163:907912.Google Scholar
6. Nielson, JP, Hood, VD, Cupples, W (1982): Ultrasonic evaluation of twin pregnancies associated with raised serum alpha-fetoprotein levels. Acta Genet Med Gemellol 31:229233.Google Scholar
7. Sarandria, C, Vestita, E, Di Comite, A (1987): Foetus acardius amorphus: rilievi anatomopatologici su di un caso. Neonatologica 3:257261.Google Scholar
8. Van Allen, M, Smith, DW, Shepard, TH (1983): Twin reversed arterial perfusion (TRAP) sequence: study of 14 twin pregnancies with acardius. Semin Perinatol 7:285293.Google Scholar