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Bucharest, Romania

Anca F.A.,Carol Davila University of Medicine and Pharmacy | Negru A.,University of Bucharest | Mihart A.E.,University of Bucharest | Grigoriu C.,Carol Davila University of Medicine and Pharmacy | And 2 more authors.
Journal of medicine and life | Year: 2015

UNLABELLED: Twin pregnancy generally represents a high-risk pregnancy, but monozygous twin pregnancy is a real challenge for the obstetrician due to the serious complications that may occur during its evolution. A very rare, severe complication of monozygous twin pregnancy, which we recently dealt with in the Obstetrics and Gynecology Department of the University Emergency Hospital Bucharest, was a monochorionic monoamniotic twin pregnancy with acardiac twin (TRAP). One of the fetuses (acardiac twin) presented a rudimentary unfunctional heart or even no heart at all, underdeveloped inferior part of the body and head, being transfused by the other fetus with a normal heart (pumping twin) by one superficial arterio-arterial anastomosis through which blood pumped backwards. The understanding of these cases is mandatory in order to offer maximum survival and heath chances to the viable fetus.ABBREVIATIONS: RFA = radiofrequency ablation, TRAP = reversed arterial perfusion. Source

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