Therapeutic dilemma in twin reversed arterial perfusion sequence
| Autor: | Kentaro Kai, Yoko Aoyagi, Naoki Fujiyoshi, Yuichi Furukawa, Hisashi Narahara, Masahiro Sumie |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Radiofrequency ablation fetal growth retardation Twin reversed arterial perfusion Case Report acardiac twin law.invention 03 medical and health sciences 0302 clinical medicine law Internal medicine Medicine Sequence (medicine) lcsh:R5-920 0303 health sciences 030219 obstetrics & reproductive medicine business.industry 030305 genetics & heredity General Medicine Acardiac twin Cardiology radiofrequency ablation In utero surgery lcsh:Medicine (General) business Twin reversed arterial perfusion sequence |
| Zdroj: | SAGE Open Medical Case Reports SAGE Open Medical Case Reports, Vol 7 (2019) |
| ISSN: | 2050-313X |
| DOI: | 10.1177/2050313x19836342 |
| Popis: | The dissemination of minimally invasive in utero surgery reduced the mortality of twin reversed arterial perfusion sequence, but the mortality of expectantly treated surgical candidates remains high. A 26-year-old, non-parous, Japanese woman at 13 weeks of gestation had been diagnosed with twin reversed arterial perfusion sequence and was judged as a surgical candidate for radiofrequency ablation. However, she did not undergo surgery because of the anatomical location of the acardiac twin. At 18 weeks of gestation, the blood flow to the acardiac twin disappeared spontaneously. The pump twin began to demonstrate fetal growth retardation during the third trimester. The patient delivered a 1891 g female at term. We macroscopically identified the cause of the fetal growth retardation as velamentous insertion of the umbilical cord and microscopically diagnosed the acardiac twin with acardiac acephalus. We should give the same attention to the management of post–twin reversed arterial perfusion sequence as twin reversed arterial perfusion sequence itself. |
| Databáze: | OpenAIRE |
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