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Journals / Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi / 2006 / Cilt: 3 - Sayı: 1

Akardiak ikiz gebeliğin prenatal ultrasonografik tanısı ve klinik tedavisi

Prenatal ultrasonographic diagnosis and clinical management of acardiac twin

Yağmur MİNARECİ
Pınar ÇAKMAK
Perran MORÖY
Elif Gül YAPAR
Leyla MOLLAMAHMUTOĞLU
Nuri DANIŞMAN
Pages
73–78
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The principal sonographic features for prenatal diagnosis and the clinical management are briefly discussed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Acardiac twinning is a rare complication of monozygotic twin gestation occurring in 1/35,000 pregnancies, in 1/100 of all monozygotic twins and 1/30 monozygotic triplets.
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Key Findings & Data:Perinatal mortality for the normal twin is about 50-70%, as a result of congestive heart failure, polyhydramnios and preterm delivery.
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Conclusion & Impact:The principal sonographic features for prenatal diagnosis and the clinical management are briefly discussed.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Kalp hastalıkları · Doğum öncesi tanı · Ultrasonografi

Abstract

Acardiac twinning is a rare complication of monozygotic twin gestation occurring in 1/35,000 pregnancies, in 1/100 of all monozygotic twins and 1/30 monozygotic triplets. Twin condition is characterized by partial or complete lack of development of the heart in one of the twins, and requires that the normal twin (pump twin) provides circulation for itself as well as the acardiac sibling (recipient twin) by means of reverse circulation through large artery-to-artery and vein-to-vein anastomoses. The acardiac twin is grossly abnormal and the outcome is invariably fatal. Perinatal mortality for the normal twin is about 50-70%, as a result of congestive heart failure, polyhydramnios and preterm delivery. In this report, we present a case of acardiac twin prenatally diagnosed by ultrasound. The principal sonographic features for prenatal diagnosis and the clinical management are briefly discussed.

Özet

Akardiak ikiz gebelik; monozigotik ikiz gebeliklerin nadir bir komplikasyonu olup monozigotik ikiz gebeliklerin % 1’inde veya monozigotik üçüz gebeliklerin 1/30’ unda yada 35 000 gebelikte bir görülür. Bu durum, ikizlerden birinin kalp gelişiminde komplet veya parsiyel eksikliği ile karakterizedir ve akardiak kardeş (alıcı ikiz) ve kendisi için sirkulasyonu sağlayan normal ikiz’e (pompa ikiz) ihtiyaç gösterir, ters sirkulasyon arter-arter ve/veya ven-ven anastamozları vasıtasıyla olur. Akardiak ikiz ciddi olarak anormaldir ve sonuç daima ölümcüldür. Normal ikiz’in (pompa ikiz) perinatal mortalitesi % 50-70’tir, konjestif kalp yetmezliği, polihidramnios ve preterm eylem sonucuyladır. Bu yayında, ultrasonografi ile prenatal olarak tanı alan bir akardiak gebelik vakasını sunduk. Prenatal tanı için başlıca sonografik özellikler ve klinik tedavi açıkça tartışıldı.

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Cite This Article

MİNARECİ, Y., ÇAKMAK, P., MORÖY, P., YAPAR, E. G., MOLLAMAHMUTOĞLU, L., DANIŞMAN, N. (2006). Akardiak ikiz gebeliğin prenatal ultrasonografik tanısı ve klinik tedavisi. Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi, Cilt: 3 - Sayı: 1, 73–78. https://ajindex.com/articles/320567

References (20)

  1. James WH.A note on the epidemiology of acardiac monsters. Teratology 16. 1977; 211
  2. Napolitani FD, Schreiber I. The acardiac monster. A review of the world literature and presentation of 2 cases.Am J Obstet Gnecol 1960; 80: 582
  3. Acton CM,Woodward CS. Acardia twins. Australas Radiol 1993; 37: 389
  4. Pinet C, Colau JC, Delezoide AL et al. Acardiac twins. J gynecol Obstet Biol Reprod 1994; 23: 85
  5. Boronow RC, West RH. Monster acardius parasiticus. Am J Obstet Gynecol 1964; 88: 233
  6. Richart R, Benirschke K. Holoacardius amorphus: Report of a case with chromosome analysis.Am J Obstet Gynecol 1962; 86: 329
  7. Nicolaidis P, Nasrat H, TannirandornY. Fetal acardis: etiology, pathology and management. J Obstet Gynecol 1990; 10: 518
  8. Van Allen MI, Smith DW, Shepard TH et al. Twin reversed arterial perfusion (TRAP) sequence: a study of 14 twin pregnancies with acardius. Semin Perinatol 1983; 7: 285
  9. Sepulveda W,Quiroz V,Giuliano A et al. Prenatal ultrasonographic diagnosis of acardiac twin. J Perinat Med 1993; 21: 241-246
  10. Malhotra N, SinhaA, Deka D. Twin reversed arterial perfusion: report of four cases. J Clin Ultrasound. 2004 Oct; 32(8): 411- 4
  11. Sohi I, Chacko B, Masih K, Choudhary S. A case of TRAP sequence: acardiac twin. Indian J Pathol Microbiol. 2003 Oct; 46(4): 664- 5
  12. Czichos E,Krekora M,Kulig A et al.Acardiac fetus--morphological and clinical aspects. Pol Merkuriusz Lek. 2005 Jan; 18(103): 82-4. Polish
  13. Rajesh B, Mahadhevan B, Rao S et al. Acephalus acardiac fetus. Indian J Pediatr. 2004 Oct; 71(10): 948. Review 14. Reuhland RG,O’Leary JA, Ferrell RE. The holocardius acephalus twin: prenatal diagnosis. Am J Perinatol 1886; 3: 33
  14. Coulam CB, Wright G. First trimester diagnosis of acardiac twins. Early Pregnancy. 2000 Oct; 4(4): 261- 70
  15. Spencer R. Parasitic conjoined twins: external, internal (fetuses in fetu and teratomas), and detached (acardiacs). Clin Anat. 2001 Nov; 14(6): 428- 44. Review
  16. Mohanty C, Mishra OP, Singh CP, Das BK.Acardiac anomaly spectrum. Teratology. 2000 Nov; 62(5): 356- 9
  17. Mastrobattista JM, Silva JB. Case 7: obstetrical. Acardiac twinning. J Ultrasound Med. 2000 May; 19(5): 359
  18. Brassard M, Fouron JC, Leduc L et al. Prognostic markers in twin pregnancies with an acardiac fetus. Obstet Gynecol. 1999 Sep; 94(3): 409- 14
  19. Moore TR, Gale S, Bemirschke K. Perinatal outcome of firtynine pregnancies complicated by acardiac twinning. Am J Obstet Gynecol 1990; 163: 907
  20. Deprest