Acardius acephalus with spontaneous umbilical cord occlusion: Reporting a rare case

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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Published on: July 21, 2013

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Suryansh Arora1, Nimisha Lohiya1, Annu Singhal1

  • 1Department of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi 110001, India.

Radiology Case Reports
|March 14, 2022
PubMed

Twin reversed arterial perfusion syndrome is a rare obstetric condition that occurs in monochorionic twin pregnancies, resulting in coexistence of a normal "pump" twin and an acardiac twin. The acardiac twin is dependent upon the normal twin to provide circulation by means of vascular anastomosis, thereby putting the pump fetus at risk of high output cardiac failure. Overall only 50% of pump twins survive. Mortality for acardiac twin is 100%. We present a case of 26-year-old primigravida female presenting with 8 months of amenorrhea with unsure LMP. Ultrasonography followed by fetal MRI was carried out which revealed acardius acephalus twin with absence of blood flow in umbilical vessels. Pump twin had multicystic dysplastic left kidney with single umbilical artery. Following delivery, the pump twin survived well and the deformed fetus showed features of twin reversed arterial perfusion syndrome.

Keywords:
Acardiac twinAcardiusAcephalusFOV, Field of ViewHIFU, High Intensity Focussed UltrasoundLMP, Last Menstrual PeriodMRI, Magnetic Resonance ImagingPump twinTRAPTRAP, Twin Reversed Arterial Perfusion

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