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Placental pathology in trap sequence: clinical and pathogenetic implications
Thora S Steffensen1, Enid Gilbert-Barness, William Spellacy
1Department of Pathology, University of South Florida and Tampa General Hospital, Tampa, Florida, USA.
Fetal and Pediatric Pathology
|June 24, 2008
Summary
Twin reversed arterial perfusion sequence (TRAP) involves an acardiac twin. This case study reveals placental thrombotic vasculopathy in the donor twin
Area of Science:
- Reproductive Medicine
- Pathology
- Genetics
Background:
- Twin reversed arterial perfusion (TRAP) sequence is a rare complication in monochorionic pregnancies.
- It necessitates arterial-arterial and venous-venous anastomoses between twins, leading to circulatory failure in the acardiac twin.
Observation:
- This study details a case of monochorionic monozygotic twins with TRAP sequence and an acardiac twin.
- Key placental findings included villous immaturity, significant calcifications, and extensive fetal thrombotic vasculopathy.
Findings:
- The placenta exhibited thrombotic vasculopathy in the donor twin's umbilical vein and chorionic plate vessels.
- Unlike previous reports, thrombi were observed in the donor twin's umbilical vessels and chorionic plate veins.
Implications:
- These findings suggest a potential role for thrombotic events in the donor twin.
- Further research is needed to correlate these clinicopathological findings and understand their impact on TRAP sequence etiology and donor twin outcomes.
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