Secuencia de perfusión arterial reversa en embarazo gemelar; coagulación de arteria nutricia: Reporte del primer caso en el país

Soledad Bottaro; José María Pérez Penco; Ana Bianchi; Ana Migues; Pablo Putti; Patricia Lapizaga

doi:10.29193/RMU.37.3.13

Authors

Soledad Bottaro Universidad de la República, Facultad de Medicina, Hospital Pereira Rossell, Unidad de Medicina Prenatal, Clínica Ginecotocológica "A", Docente Asociado
José María Pérez Penco Universidad de la República, Facultad de Medicina, Hospital Pereira Rossell, Unidad de Medicina Prenatal, Clínica Ginecotocológica "A", Docente Asociado
Ana Bianchi ASSE, Hospital Pereira Rossell, Unidad de Medicina Prenatal, Jefa
Ana Migues ASSE, Hospital Pereira Rossell, Unidad de Medicina Prenatal
Pablo Putti Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "A"¨, Prof. Adj.
Patricia Lapizaga ASSE, Hospital Pereira Rossell, Unidad de Medicina Prenatal

DOI:

https://doi.org/10.29193/RMU.37.3.13

Keywords:

ACARDIAC TWIN, TWIN PREGNANCY, MONOCHORIONIC TWINS, REVERSE ARTERIAL PERFUSION SEQUENCE, TRAP SEQUENCE

Abstract

Twin reversed arterial perfusion sequence (TRAPS) is rather an unusual and severe complication of monochorionic twin pregnancies. It usually occurs when the normal-appearance heart of a twin acts as a pump for one or more dysmorphic twins whose head, thoracic organs and upper limbs fail to totally develop or do not develop at all and thus, have no cardiac activity. The abnormal vascular architecture at the placenta changes the arterial flow towards the acardiac twin. The exact pathophysiological mechanisms that result in this devastating phenomenon are still unknown. The study presents the clinical case of a 19-year- old patient pregnant with monoamniotic, monochorionic twins and a diagnosis of TRAPS, treated by laser coagulation of the acardiac twin’s umbilical cord.

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