An acardiac acephalic monster

Groeninghen, J. C. Van; Franssen, A.M.H.W.; Willemsen, W.N.P.; Nijhuis, Jan G.; Puts, J. J. G.

doi:10.1016/0028-2243(85)90048-6

Cited by 19 publications

(10 citation statements)

References 17 publications

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“…Reviewing our own cases with TRAP sequence and reviewing the literature of the past 20 years, we come up with an 11% figure. The anomalies reported in the co-twins are tetralogy of Fallot, single ventricle, aortic arch anomalies, patent ductus arteriosus, anencephaly with rachischisis, exomphalos, micrognathia and low set ears, Vater association, brain abnormalities, renal abnormalities, and chromosomal abnormalities [Onyskoswova et al, 1970;Renziehausen et al, 1973;Benirschke and Des Roches Harper, 1977;Vangen 1977;Barr et al, 1978;Harkavy et al, 1978;Neilson et al, 1982;Gewolb et al, 1983;Pavone et al, 1985;Van Groeninghen et al, 1985;Beuhler et al, 1986;Bhatnagar et al, 1986;Hall, 1986;Mulhaus and Beisler, 1986;Reuhland et al, 1986;Moore et al, 19871. It is often not possible to give accurate data on acardiac amorphous twins and their co-twins due to incompletely reported cases [Bhatnagar et al, 1986;Schulze et al, 19851.…”

Section: Discussionmentioning

confidence: 99%

Acardiac amorphous twin with prune belly sequence in the co‐twin

et al. 1991

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We describe a twin with acardia acephalus or "Twin Reversed Arterial Perfusion Sequence" and prune belly sequence in the co-twin. In a former quite similar case a prune belly appearance of the co-twin of an acardiac fetus was found to be secondary to the ascites caused by cardiac failure. In the present case, we are dealing with the prune belly sequence as a separate condition, given the fact there were no signs of ascites or cardiac failure. We also found associated anomalies: agenesis of the left ureter and kidney, dysplastic right kidney and anal atresia. Urinary tract obstruction has never been described in the co-twin of an acardiac amorphous fetus.

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Section: Discussionmentioning

confidence: 99%

Acardiac amorphous twin with prune belly sequence in the co‐twin

et al. 1991

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“…1 -2 Typically associated with an otherwise normal cotwin, acardiac infants demonstrate a spectrum of cardiac maldevelopment ranging from complete absence of heart tissue (holoacardia) to some formation of rudimentary myocardium (hemiacardia or pseudoacardia). 1 " 3 Obstetric complications related to acardiac twinning also vary widely. An amorphous acardiac mass might be only an incidental finding at delivery.…”

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confidence: 99%

“…Conversely, this fetal condition can be associated with profound alterations in maternal physiology, including polyhydramnios, preterm labor, and even uterine rupture. 3 Described and illustrated here is a patient with a twin pregnancy complicated by hemicardia, uterine overdistension, total placenta previa, and preterm labor. Management of this pregnancy and others complicated by a lethal anomaly of one twin that threatens the normal cotwin and/or the mother is discussed.…”

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confidence: 99%

Prenatal Sonographic Diagnosis and Management of a Twin Pregnancy with Placenta Previa and Hemicardia

Seeds¹,

Herbert²,

Richards³

1987

Amer J Perinatol

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The sonographic diagnosis of a twin pregnancy complicated by acardius anceps of one fetus, total placenta previa, uterine overdistension, and preterm labor is presented and management is discussed. Attempted selective fetocide is described, but was not successful. Clinical management of severe discordant sonographic dysmorphology is discussed, and diagnostic criteria for sonographic diagnosis of acardia are presented.

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“…The rarity of acardiac anomaly complicating a triplet pregnancy is evident from the few reports published in the literature. In 1985, before the widespread use of prenatal sonography, van Groeninghen et al (1985) reviewed 360 published cases of acardiac fetus; only 3% (n = 12) occurred in a triplet pregnancy. Similarly, in a review of 184 pregnancies complicated by an acardiac fetus published from 1960 to 1991, Healey (1994) found a slightly higher prevalence of triplets of 8% (n = 14).…”

Section: Discussionmentioning

confidence: 99%