Abstract
Acardiac twinning is a rare obstetric condition unique to monochorionic twin gestation and the pump twin has high perinatal mortality. We report an acardiac twin pregnancy, in which the pump twin presented with intrauterine growth restriction and oligohydramnios, and grossly hydropic acardiac fetus measured 12 × 14 × 18 cm, and with no cardiac activity at 27 weeks of gestation. We treated the acardiac fetus with 1 ml alcohol ablation in utero, and delivered a live male baby weighing 1750 g at 36 weeks' gestation.
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References
James WH . A note on the epidemiology of acardiac monsters. Teratology 1977;16:211–216.
Van Allen MI, Smith DW, Shepard TH . Twin reversed arterial perfusion (TRAP) sequence: a study of 14 twin pregnancies with acardius. Semin Perinatol 1983;7:285–293.
Moore TR, Gale S, Benirschke K . Perinatal outcome of forty-nine pregnancies complicated by acardiac twinning. Am J Obstet Gynecol 1990;163:907–912.
Sogaard K, Skibsted L, Brocks V . Acardiac twins: pathophysiology, diagnosis, outcome, and treatment. Fetal Diagn Ther 1999;14:53–59.
Robie GF, Payne GG, Morgan MA . Selective delivery of an acardiac, acephalic twin. N Engl J Med 1989;320:512–513.
Porreco RP, Barton SM, Haverkamp AD . Occlusion of umbilical artery in acardiac, acephalic twin. Lancet 1991;337:326–327.
Quintero RA, Reich H, Puder KS, et al. Brief report: umbilical-cord ligation of an acardiac twin by fetoscopy at 19 weeks of gestation. N Engl J Med 1994;330:469–471.
Sepulveda A, Bower S, Hassan J, Fisk NM . Ablation of acardiac twin by alcohol injection into the intra-abdominal umbilical artery. Obstet Gynecol 1995;86:680–681.
Deprest JA, Audibert F, Van Schoubroeck D, Hecher K, Mahieu-Caputo D . Bipolar coagulation of the umbilical cord in complicated monochorionic twin pregnancy. Am J Obstet Gynecol 2000;182:340–345.
Tsao K, Feldstein VA, Albanese CT, et al. Selective reduction of acardiac twin by radiofrequency ablation. Am J Obstet Gynecol 2002;187:635–640.
Sullivan AE, Varner MW, Ball RH, Jackson M, Silver RM . The management of acardiac twins: a conservative approach. Am J Obstet Gynecol 2003;189:1310–1313.
Brassard M, Fouron JC, Leduc L, Grignon A, Proulx F . Prognostic markers in twin pregnancies with an acardiac fetus. Obstet Gynecol 1999;94:409–414.
Tan TY, Sepulveda W . Acardiac twin: a systematic review of minimally invasive treatment modalities. Ultrasound Obstet Gynecol 2003;22:409–419.
Sepulveda W, Corral E, Aiello H, et al. Intrafetal alcohol chemosclerosis of acardiac twins: a multicenter experience. Fetal Diagn Ther 2004;19:448–452.
Porreco RP . Percutaneous ultrasonographically guided ablation of an acardiac twin. Am J Obstet Gynecol 2004;190:572–574.
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Gul, A., Cebeci, A., Yildirim, G. et al. Successful Intrauterine Treatment with Alcohol Ablation in a Case of Acardiac Twin Pregnancy. J Perinatol 25, 352–355 (2005). https://doi.org/10.1038/sj.jp.7211261
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DOI: https://doi.org/10.1038/sj.jp.7211261