Abstract
Objective: Twin reversed arterial perfusion (TRAP) sequence is a rare complication of monochorionic multifetal gestation, and affects 1 of monochorionic twins. Here we present a case of acar- diac twinning sequentially treated by laser umbilical insertion ablation and intrafetal alcohol injection. Case: A 26-year-old woman admitted to our clinic in the 18th week of her pregnancy was presented. Ultrasonography showed a monochorionic twinning with a live pump fetus at and an acardiac cotwin. Although laser ablation and intraumbilical alcohol injec- tion therapies were commensed with onemonth interval and blood flow of acardiac fetus was ceased, late demise of the pump twin was developed. Conclusion: Although alcohol injection is a simple method in blood flow occlusion of acardiac fetus, this method should not be preferred as the first surgical intervention option due to risk of alcohol transfusion structurally passing to normal other twin.
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