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  • Title: [The case of an acardiac headless twin, review of the literature].
    Author: Guigue V, Schwetterle F, Arbez-Gindre F.
    Journal: J Gynecol Obstet Biol Reprod (Paris); 2007 May; 36(3):293-7. PubMed ID: 17363192.
    Abstract:
    INTRODUCTION: Monochorial twin pregnancies are characterized by the presence of vascular connections between the twins. These connections can be at the origin of pathologies such as the transfused/transfuser syndrome or the TRAP syndrome which is defined as the association of a headless, acardiac twin with a healthy twin, which is the subject we will study and then review the literature. THE CLINICAL CASE: The case of an acardiac, headless twin which was not diagnosed during pregnancy and was discovered at birth. DISCUSSION AND CONCLUSION: The TRAP syndrome is a very rare phenomenon. Yet, it is crucial to diagnose it as early as possible during pregnancy so as to offer adequate supervision. It is associated to a high death rate in the healthy twin caused by anemia and heart failure. There are therapeutic means to stop vascular anostomoses between the twins so as to perform a selective feticide.
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