Abstract
TRAP sekansı tüm monokoryonik ikiz gebeliklerin %0,3-1’inde görülen nadir bir anomalidir. İkizlerden biri akardiaktır ve parazit gibi davranır. Normal olan ikiz eşi plasentadaki anormal vasküler komunikasyonlarla diğerine kan pompalar. Bu akardiak fetüs için ölümcül bir durumdur ve pompacı fetüs için de anemi, yüksek debili kalp yetmezliği ve prematürite açısından yüksek risk oluşturur. Uygun yaklaşım açısından prenatal ultrasonografik inceleme önemlidir. Burada, TRAP sekansının nadir ve ciddi bir anomali olduğunu hatırlatmak ve ultrasonografik incelemenin basit ama tanı, takip ve hatta tedavide kullanışlı bir yöntem olduğunu vurgulamak için bu vaka sunulmuştur.
Keywords
References
- Bornstein E, Monteagudo A, Dong R, Schwartz N, Timor-Tritsch IE. Detection of twin reversed arterial perfusion sequence at the time of first- trimester screening: the added value of 3-dimensional volume and color Doppler sonography. J Ultrasound Med 2008;27: 1105-9.
- Wong AE, Sepulveda W. Acardiac anomaly: current issues in prenatal assessment and treatment. Prenat Diagn 2005;25: 796-806.
- Chandramouly M, Namitha. Case series: TRAP sequence. Indian J Radiol Imaging 2009;19:81-3.
Abstract
The TRAP sequence is a rare anomaly seen in 0.3-1% of all monochorionic twin gestations. One of the twins is acardiac and acts like a parasite. The normal co-twin pumps blood for the other through abnormal vascular communications in the placenta. It is lethal for the acardiac fetus and also poses a high risk of morbidity and mortality for the ‘pump’ fetus secondary to anemia, high-output cardiac failure and prematurity. The sonographic prenatal diagnosis is important for proper management. This case has been presented to remind that the TRAP sequence is a rare and serious anomaly and to emphasize the importance of ultrasonographic examination as a simple but adequate tool in the diagnosis, follow-up, and even in the treatment of such a case
Keywords
References
- Bornstein E, Monteagudo A, Dong R, Schwartz N, Timor-Tritsch IE. Detection of twin reversed arterial perfusion sequence at the time of first- trimester screening: the added value of 3-dimensional volume and color Doppler sonography. J Ultrasound Med 2008;27: 1105-9.
- Wong AE, Sepulveda W. Acardiac anomaly: current issues in prenatal assessment and treatment. Prenat Diagn 2005;25: 796-806.
- Chandramouly M, Namitha. Case series: TRAP sequence. Indian J Radiol Imaging 2009;19:81-3.
Details
| Other ID | JA39NG83EN |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 1, 2013 |
| Submission Date | April 1, 2013 |
| Published in Issue | Year 2013 Volume: 7 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
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