A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump Fetus
Monochorionic-triamniotic triplet pregnancy with twin reversed arterial perfusion (TRAP) sequence is one of the rare complications of multiple pregnancy and has been reported by only a few. Here, we report a case of monochorionic-triamniotic triplet pregnancy with TRAP sequence successfully treated...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/5319028 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849409840648028160 |
|---|---|
| author | Shusaku Kobori Masatake Toshimitsu Shinichi Nagaoka Jun Murotsuki |
| author_facet | Shusaku Kobori Masatake Toshimitsu Shinichi Nagaoka Jun Murotsuki |
| author_sort | Shusaku Kobori |
| collection | DOAJ |
| description | Monochorionic-triamniotic triplet pregnancy with twin reversed arterial perfusion (TRAP) sequence is one of the rare complications of multiple pregnancy and has been reported by only a few. Here, we report a case of monochorionic-triamniotic triplet pregnancy with TRAP sequence successfully treated with radiofrequency ablation, which did not develop polyhydramnios and heart failure although the estimated weight of the acardiac fetus increased twice as much as that of the direct pump fetus. Interestingly, the anastomosed blood vessels between the direct and indirect pump fetuses comprised a parallel circuit, which provided blood flow to the acardiac fetus. We hypothesized that the burden on the pump fetus in monochorionic pregnancy with TRAP sequence would be different between triplet and twin pregnancies. |
| format | Article |
| id | doaj-art-75af493827ea4eac93363bf7a3df4649 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-75af493827ea4eac93363bf7a3df46492025-08-20T03:35:22ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/53190285319028A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump FetusShusaku Kobori0Masatake Toshimitsu1Shinichi Nagaoka2Jun Murotsuki3Department of Maternal and Fetal Medicine, Miyagi Children’s Hospital, Sendai, Miyagi 989-3126, JapanDepartment of Maternal and Fetal Medicine, Miyagi Children’s Hospital, Sendai, Miyagi 989-3126, JapanDepartment of Maternal and Fetal Medicine, Miyagi Children’s Hospital, Sendai, Miyagi 989-3126, JapanDepartment of Maternal and Fetal Medicine, Miyagi Children’s Hospital, Sendai, Miyagi 989-3126, JapanMonochorionic-triamniotic triplet pregnancy with twin reversed arterial perfusion (TRAP) sequence is one of the rare complications of multiple pregnancy and has been reported by only a few. Here, we report a case of monochorionic-triamniotic triplet pregnancy with TRAP sequence successfully treated with radiofrequency ablation, which did not develop polyhydramnios and heart failure although the estimated weight of the acardiac fetus increased twice as much as that of the direct pump fetus. Interestingly, the anastomosed blood vessels between the direct and indirect pump fetuses comprised a parallel circuit, which provided blood flow to the acardiac fetus. We hypothesized that the burden on the pump fetus in monochorionic pregnancy with TRAP sequence would be different between triplet and twin pregnancies.http://dx.doi.org/10.1155/2019/5319028 |
| spellingShingle | Shusaku Kobori Masatake Toshimitsu Shinichi Nagaoka Jun Murotsuki A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump Fetus Case Reports in Obstetrics and Gynecology |
| title | A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump Fetus |
| title_full | A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump Fetus |
| title_fullStr | A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump Fetus |
| title_full_unstemmed | A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump Fetus |
| title_short | A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump Fetus |
| title_sort | case of monochorionic triamniotic triplet pregnancy with trap sequence successfully treated with radiofrequency ablation with a parallel circuit consisting of anastomosed blood vessels between the direct pump fetus and the indirect pump fetus |
| url | http://dx.doi.org/10.1155/2019/5319028 |
| work_keys_str_mv | AT shusakukobori acaseofmonochorionictriamniotictripletpregnancywithtrapsequencesuccessfullytreatedwithradiofrequencyablationwithaparallelcircuitconsistingofanastomosedbloodvesselsbetweenthedirectpumpfetusandtheindirectpumpfetus AT masataketoshimitsu acaseofmonochorionictriamniotictripletpregnancywithtrapsequencesuccessfullytreatedwithradiofrequencyablationwithaparallelcircuitconsistingofanastomosedbloodvesselsbetweenthedirectpumpfetusandtheindirectpumpfetus AT shinichinagaoka acaseofmonochorionictriamniotictripletpregnancywithtrapsequencesuccessfullytreatedwithradiofrequencyablationwithaparallelcircuitconsistingofanastomosedbloodvesselsbetweenthedirectpumpfetusandtheindirectpumpfetus AT junmurotsuki acaseofmonochorionictriamniotictripletpregnancywithtrapsequencesuccessfullytreatedwithradiofrequencyablationwithaparallelcircuitconsistingofanastomosedbloodvesselsbetweenthedirectpumpfetusandtheindirectpumpfetus AT shusakukobori caseofmonochorionictriamniotictripletpregnancywithtrapsequencesuccessfullytreatedwithradiofrequencyablationwithaparallelcircuitconsistingofanastomosedbloodvesselsbetweenthedirectpumpfetusandtheindirectpumpfetus AT masataketoshimitsu caseofmonochorionictriamniotictripletpregnancywithtrapsequencesuccessfullytreatedwithradiofrequencyablationwithaparallelcircuitconsistingofanastomosedbloodvesselsbetweenthedirectpumpfetusandtheindirectpumpfetus AT shinichinagaoka caseofmonochorionictriamniotictripletpregnancywithtrapsequencesuccessfullytreatedwithradiofrequencyablationwithaparallelcircuitconsistingofanastomosedbloodvesselsbetweenthedirectpumpfetusandtheindirectpumpfetus AT junmurotsuki caseofmonochorionictriamniotictripletpregnancywithtrapsequencesuccessfullytreatedwithradiofrequencyablationwithaparallelcircuitconsistingofanastomosedbloodvesselsbetweenthedirectpumpfetusandtheindirectpumpfetus |