TRAP SEKANSI: OLGU SUNUMU

Altay Kartal; Ahmet Cem İyibozkurt; İbrahim Kalelioğlu; Süleyman Engin Akhan; Recep Has; Sinan Berkman; Samet Topuz; At All.

TRAP SEKANSI: OLGU SUNUMU

Year 2006, Volume: 69 Issue: 2, 52 - 54, 15.11.2011

Altay Kartal Ahmet Cem İyibozkurt İbrahim Kalelioğlu Süleyman Engin Akhan Recep Has Sinan Berkman Samet Topuz At All.

Abstract

TRAP sekansı monokoryonik ikiz gebeliklerde 1/100 oranında görülen kötü prognoza sahip bir fenomendir. TRAP sekansında multipl anomalilere sahip, kalbi gelişmemiş “nonviable” bir fetus ile bu fetusu plasentadaki vasküler anastomozlar yoluyla besleyen pompa fetusun varlığı söz konusudur. Pompa ikiz anatomik olarak normal iken, hipoksik kan ile beslenen akardiyak ikizde gelişim vücudun alt yarısı ile sınırlıdır. Akardiyak ikiz için mortalite %100’dür. Pompa ikizin mortalitesi %50 civarında olup ölüm genellikle kalp yetmezliğine bazen de polihidramniosun yol açtığı prematüriteye bağlı olabilir. Burada antenatal dönemde tanısı koyduğumuz ve ailenin isteği doğrultusunda sonlandırılan 21 haftalık TRAP sekansı olgusu sunulmaktadır.

Keywords

TRAP sekansı, akardiyak fetus

References

Ash K, Harman CR, Gritten H. TRAP sequence successful out- come with indomethacin treatment. Obstet Gynecol 1990; 76:960-964.
Benson CB, Doubilet PM. Ultrasound in multipl gestations. Se- min Roentgenol 1991; 1:50-62.
Borrel A, Pesarrodona A, Puerto B, Deulofeu P, Fuster JJ, For- tuny AA. Ultrasound diagnostic features of twin reverse arterial perfusion sequence . Prenat Diagn 1990; 10:443-448.
Hecher K, Ville Y, Nicolaides KH. Color Doppler ultrasonog- raphy in the identification of communicating vessels in twin- twin transfusion syndrome and acardiac twins. J Ultrasound Med 1995; 14:37-40.
Langlotz H, Sauerbrei E, Murray S. Transvaginal Doppler so- nographic diagnosis of an acardiac twin at 12 weeks gestation. J Ultrasound Med 1991; 10:175-178.
Moore TR, Gale S, Benirscheke K. Perinatal outcome of forty- nine pregnancies complicated by acardiac twinning . Am J Obs- tet Gynecol 1990; 163:907-910.
Robie GF, Payne CG, Morgan MA. Selective delivery of an acardiac, acephalic twin. N Engl J Med 1989; 320:512-513.
Sherer DM, Amstrong B, Shag YG, Metlay LA, Woods JRJr. Prenatal sonographic diagnosis, Doppler velocimetric umbilical cord studies and subsequent management of an acardiac twin pregnancy. Obstet Gynecol 1989; 74:472-476.
Simpson PC, Trudinger BJ, Walker A, Baird PJ. The intrauteri- ne treatment of fetal cardiac failure in a twin pregnancy with an acardiac, acephalic monster. Am J Obstet Gynecol 1983; 147:842-844.
Van Allen MI, Smith SW, Shepard TH. Twin reversed arterial perfusion (TRAP) sequence: a study of 14 twin pregnancies with acardius. Semin Perinatol 1983; 7:285-286.

Year 2006, Volume: 69 Issue: 2, 52 - 54, 15.11.2011

Altay Kartal Ahmet Cem İyibozkurt İbrahim Kalelioğlu Süleyman Engin Akhan Recep Has Sinan Berkman Samet Topuz At All.

Abstract

References

Ash K, Harman CR, Gritten H. TRAP sequence successful out- come with indomethacin treatment. Obstet Gynecol 1990; 76:960-964.
Benson CB, Doubilet PM. Ultrasound in multipl gestations. Se- min Roentgenol 1991; 1:50-62.
Borrel A, Pesarrodona A, Puerto B, Deulofeu P, Fuster JJ, For- tuny AA. Ultrasound diagnostic features of twin reverse arterial perfusion sequence . Prenat Diagn 1990; 10:443-448.
Hecher K, Ville Y, Nicolaides KH. Color Doppler ultrasonog- raphy in the identification of communicating vessels in twin- twin transfusion syndrome and acardiac twins. J Ultrasound Med 1995; 14:37-40.
Langlotz H, Sauerbrei E, Murray S. Transvaginal Doppler so- nographic diagnosis of an acardiac twin at 12 weeks gestation. J Ultrasound Med 1991; 10:175-178.
Moore TR, Gale S, Benirscheke K. Perinatal outcome of forty- nine pregnancies complicated by acardiac twinning . Am J Obs- tet Gynecol 1990; 163:907-910.
Robie GF, Payne CG, Morgan MA. Selective delivery of an acardiac, acephalic twin. N Engl J Med 1989; 320:512-513.
Sherer DM, Amstrong B, Shag YG, Metlay LA, Woods JRJr. Prenatal sonographic diagnosis, Doppler velocimetric umbilical cord studies and subsequent management of an acardiac twin pregnancy. Obstet Gynecol 1989; 74:472-476.
Simpson PC, Trudinger BJ, Walker A, Baird PJ. The intrauteri- ne treatment of fetal cardiac failure in a twin pregnancy with an acardiac, acephalic monster. Am J Obstet Gynecol 1983; 147:842-844.
Van Allen MI, Smith SW, Shepard TH. Twin reversed arterial perfusion (TRAP) sequence: a study of 14 twin pregnancies with acardius. Semin Perinatol 1983; 7:285-286.

There are 10 citations in total.

Details

Primary Language	Turkish
Journal Section	Case Reports
Authors	Altay Kartal This is me Ahmet Cem İyibozkurt This is me İbrahim Kalelioğlu This is me Süleyman Engin Akhan This is me Recep Has This is me Sinan Berkman This is me Samet Topuz This is me At All. This is me
Publication Date	November 15, 2011
Submission Date	November 15, 2011
Published in Issue	Year 2006 Volume: 69 Issue: 2

Cite

APA	Kartal, A., İyibozkurt, A. C., Kalelioğlu, İ., Akhan, S. E., et al. (2011). TRAP SEKANSI: OLGU SUNUMU. Journal of Istanbul Faculty of Medicine, 69(2), 52-54.
AMA	Kartal A, İyibozkurt AC, Kalelioğlu İ, Akhan SE, Has R, Berkman S, Topuz S, All. A. TRAP SEKANSI: OLGU SUNUMU. İst Tıp Fak Derg. November 2011;69(2):52-54.
Chicago	Kartal, Altay, Ahmet Cem İyibozkurt, İbrahim Kalelioğlu, Süleyman Engin Akhan, Recep Has, Sinan Berkman, Samet Topuz, and At All. “TRAP SEKANSI: OLGU SUNUMU”. Journal of Istanbul Faculty of Medicine 69, no. 2 (November 2011): 52-54.
EndNote	Kartal A, İyibozkurt AC, Kalelioğlu İ, Akhan SE, Has R, Berkman S, Topuz S, All. A (November 1, 2011) TRAP SEKANSI: OLGU SUNUMU. Journal of Istanbul Faculty of Medicine 69 2 52–54.
IEEE	A. Kartal, A. C. İyibozkurt, İ. Kalelioğlu, S. E. Akhan, R. Has, S. Berkman, S. Topuz, and A. All., “TRAP SEKANSI: OLGU SUNUMU”, İst Tıp Fak Derg, vol. 69, no. 2, pp. 52–54, 2011.
ISNAD	Kartal, Altay et al. “TRAP SEKANSI: OLGU SUNUMU”. Journal of Istanbul Faculty of Medicine 69/2 (November 2011), 52-54.
JAMA	Kartal A, İyibozkurt AC, Kalelioğlu İ, Akhan SE, Has R, Berkman S, Topuz S, All. A. TRAP SEKANSI: OLGU SUNUMU. İst Tıp Fak Derg. 2011;69:52–54.
MLA	Kartal, Altay et al. “TRAP SEKANSI: OLGU SUNUMU”. Journal of Istanbul Faculty of Medicine, vol. 69, no. 2, 2011, pp. 52-54.
Vancouver	Kartal A, İyibozkurt AC, Kalelioğlu İ, Akhan SE, Has R, Berkman S, Topuz S, All. A. TRAP SEKANSI: OLGU SUNUMU. İst Tıp Fak Derg. 2011;69(2):52-4.