Ultrasound Doppler findings of a Twin Reversed Arterial Perfusion Sequence (TRAP) | [Pakistan Journal of Medical Sciences • 2024]

Author(s):

1. Saba a Abdulmalik Amer: Department of Radiology, University of Science and Technology Hospital (USTH), Radiology Department, College of Medicine, 21 September University of Medical and Applied Sciences, Sana’a, Republic of Yemen.

2. Sultan Abdulwadoud Alshoabi: Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia.

3. Abdulaziz A. Qurashi: Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia.

4. Fahad H. Alhazmi: Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia.

5. Rawda Yehia Al-Rudini: Department of Radiology, Al-Thawra Modern General Hospital, Sana’a, Republic of Yemen.

Abstract:

Twin reversed arterial perfusion (TRAP) sequence is a rare pregnancy complication occurs in an identical twin pregnancy that share a single placenta. TRAP sequence is a twin's pregnancy includes a normal-developed viable pump fetus and an abnormal usually nonviable acardiac fetus. The nonviable acardiac fetus depends on the pump fetus for his blood supply and put the pump fetus at risk of high cardiac output heart failure and congenital anomalies with high mortality rate. Gray-scale ultrasound and color and pulsed Doppler imaging is a noninvasive accessible imaging modality for the diagnosis of TRAP sequence. Early diagnosis of such conditions is mandatory in order to apply the proper therapeutic measures and to help the normal developed pump fetus to survive. The main goal of management is to interrupt blood supply to the nonviable acardiac fetus to reduce the strain on the heart of the pump fetus thus, increase the chance of survival.

Page(s): 242-246

DOI: 10.12669/pjms.40.1.8088

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 40, Issue: 1, Year: 2024

Keywords:

Twin reversed arterial perfusion sequence , Monochorionic twin share a single placenta , Monoamniotic twin share an amniotic sac , Acardiac fetus , Pump fetus

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views