Abstract.
Acardiac twinning is the most extreme form of twin–twin transfusion syndrome occurring in monzygotic twin pregnancies with monochorionic placentation. A case of acardiac amorphous foetus, occurring in association with spontaneously conceived triplet pregnancy, diagnosed on ultrasound in early second trimester is described and its antenatal management and brief review of literature discussed.
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Deprest JA, Audibert F, Van Schoubroeck D et al (2000) Bipolar coagulation of the umbilical cord in complicated monochrionic twin pregnancy. Am J Obstet Gynecol 182:340–345
Ginsberg NA, Applebaum M, Rabin SA et al (1992) Term birth after midtrimester hysterotomy and selective delivery of an acardiac twin. Am J Obstet Gynecol 167:33–37
Holmes A, Jauniaux E, Rodeck C (2001) Monopolar thermocoagulation in acardiac twinning. Br J Obstet Gynaecol 108:1000–1002
Langlotz H, Sauerbrei E, Murray S (1991)Transvaginal doppler sonographic diagnosis of an acardiac twin at twelve weeks gestation. J Ultrasound Med 10:175–179
Lehr C, Di Re (1978) Rare occurrence of a holocardius acephalic monster. Sonographic and pathologic findings. J Clin Ultrasound 6:259–261
McCurdy CM. Childers JM, Seeds JW (1993) Ligation of the umbilical cord of an acardiac-acephalus twin with an endoscopic intrauterine technique. Obstet Gynecol 82:708–711
Moore TR, Gale S, Benirschke K (1990) Perinatal outcome of forty-nine pregnancies complicated by acardiac twinning. Am J Obstet Gynecol 163:907–912
Napolitani FH, Schreiber I (1960) The acardiac monster: a review of world literature and presentation of two cases. Am J Obstet Gynecol 80:582–589
Porreco RP, Barton SM, Haverkamp AD (1991) Occlusion of umbilical artery in acardiac, acephalic twin. Lancet 337:326–327
Sepulveda W, Sfeir D, Reyes M, Martinez J (2000) Severe polyhydramnios in twin reversed arterial perfusion sequence: successful management with intrafetal alcohol ablation of acardiac twin and amniodrainage. Ultrasound Obstet Gynecol 16:260–263
Simpson PC, Trudinger BJ, Walker A, Baird PJ (1983) The intrauterine treatment of fetal cardiac failure in twin pregnancy with an acardiac, acephalic monster. Am J Obstet Gynecol 147:842–844
Van Allen MI, Smith DW, Shephard TH (1983) Twin reversed arterial perfusion (TRAP) sequence. A study of 14 twin pregnancies with acardius. Semin Perinatol l7:285–293
Van Groeninghen JC, Franssen AMHW, Willamson WNP, Nijhuis JG, Puts JJG (1985) An acardiac acephalic monster. Eur J Obstet Gynecol Reprod Biol 19:317–325
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Dahiya, P., Agarwal, U., Sangwan, K. et al. Antenatal diagnosis of twin-reversed arterial perfusion sequence (acardiac amorphous) in a triplet pregnancy: case report. Arch Gynecol Obstet 269, 147–148 (2004). https://doi.org/10.1007/s00404-002-0421-5
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DOI: https://doi.org/10.1007/s00404-002-0421-5