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[Acardius in twin pregnancy]
1Geburtshilflich-gynäkologische Abteilung, Schweizerische Pflegerinnenschule Zürich.
Zeitschrift Fur Geburtshilfe Und Perinatologie
|November 1, 1991
Summary
Acardius, a severe congenital anomaly in twin pregnancies, occurs with monochorionic placentas. Prenatal diagnosis is crucial when one twin shows no cardiac activity, guiding management for the healthy twin.
Area of Science:
- Perinatology
- Fetal Medicine
- Congenital Anomalies
Background:
- Acardius is a rare congenital anomaly exclusively seen in multiple pregnancies.
- It arises from vascular anastomosis between fetuses in monochorionic placentas.
- This condition necessitates careful prenatal evaluation in twin gestations.
Observation:
- The study presents a case of acardius in a spontaneous twin pregnancy.
- Prenatal diagnosis is suspected when cardiac activity is absent in one twin.
- Echographic findings are critical for identifying this anomaly.
Findings:
- Literature review covers pathogenetic mechanisms of acardius.
- Pathologic-anatomic features and echographic characteristics are discussed.
- Therapeutic strategies focus on optimizing outcomes for the healthy co-twin.
Implications:
- Early and accurate diagnosis of acardius is vital for fetal well-being.
- Understanding the pathophysiology aids in risk assessment and management.
- Management strategies aim to improve the prognosis for the surviving twin.