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Acardiac acephalic twin gestation with transposition of great arteries in pump twin
Author(s) -
Üstüner Işık,
Şimşek Erhan,
Kahraman Korhan,
Cengiz Bora,
Koç Acar
Publication year - 2005
Publication title -
congenital anomalies
Language(s) - English
Resource type - Journals
eISSN - 1741-4520
pISSN - 0914-3505
DOI - 10.1111/j.1741-4520.2005.00068.x
Subject(s) - great arteries , medicine , fetus , color doppler , transposition (logic) , conjoined twins , cardiology , gestation , perfusion , anatomy , surgery , pregnancy , heart disease , ultrasonography , biology , genetics , linguistics , philosophy
We report here a case of twin reversed arterial perfusion sequence with transposition of great arteries in the pump twin. Color Doppler and fetal echocardiographic examination revealed an acardiac, anencephalic twin without upper limbs and a pump twin with transposition of great arteries. To our knowledge despite multiple anomalies reported in the acardiac twin, major anomalies, especially of a cardiac type are extremely rare and not reported in the pump twin, which maintains circulation. Management is directed at saving the pump fetus; therefore, we believe that during sonographic exam, emphasis should be placed on associated organ anomalies or complications that may hamper viability of the pump.