Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the Literature

A rare case is reported of twin-reversed arterial perfusion (TRAP) sequence in a triplet pregnancy, fetal intervention in the first trimester and pregnancy outcome. We report a case of TRAP sequence complication in dichorionic triamniotic triplet pregnancy, with a normally developing fetus and an ac...

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Main Authors: Petya Chaveeva, Slavcho Tomov, Atanas Shterev
Format: Article
Language:English
Published: Medical University - Pleven 2018-03-01
Series:Journal of Biomedical & Clinical Research
Subjects:
Online Access:https://jbcr.arphahub.com/article/34482/download/pdf/
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author Petya Chaveeva
Slavcho Tomov
Atanas Shterev
author_facet Petya Chaveeva
Slavcho Tomov
Atanas Shterev
author_sort Petya Chaveeva
collection DOAJ
description A rare case is reported of twin-reversed arterial perfusion (TRAP) sequence in a triplet pregnancy, fetal intervention in the first trimester and pregnancy outcome. We report a case of TRAP sequence complication in dichorionic triamniotic triplet pregnancy, with a normally developing fetus and an acardiac fetus connected via arterio-arterial anastomoses in a monochorionic diamniotic twin pair and a separate fetus. TRAP sequence was diagnosed at 13 weeks in triplet pregnancy after in vitro fertilization (IVF) and embryo transfer of two blastocysts. Color Doppler assessment showed persistent arterial flow in the acardiac twin. Intrafetal laser coagulation was carried out at the time of the diagnosis, and the pregnancy outcome was two survivals at 36.4 weeks of gestation.
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series Journal of Biomedical & Clinical Research
spelling doaj-art-cb77460574d94c7caa25152d8aa69e8f2025-08-20T03:35:29ZengMedical University - PlevenJournal of Biomedical & Clinical Research1313-90532018-03-0110214615010.1515/jbcr-2017-002434482Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the LiteraturePetya ChaveevaSlavcho TomovAtanas ShterevA rare case is reported of twin-reversed arterial perfusion (TRAP) sequence in a triplet pregnancy, fetal intervention in the first trimester and pregnancy outcome. We report a case of TRAP sequence complication in dichorionic triamniotic triplet pregnancy, with a normally developing fetus and an acardiac fetus connected via arterio-arterial anastomoses in a monochorionic diamniotic twin pair and a separate fetus. TRAP sequence was diagnosed at 13 weeks in triplet pregnancy after in vitro fertilization (IVF) and embryo transfer of two blastocysts. Color Doppler assessment showed persistent arterial flow in the acardiac twin. Intrafetal laser coagulation was carried out at the time of the diagnosis, and the pregnancy outcome was two survivals at 36.4 weeks of gestation.https://jbcr.arphahub.com/article/34482/download/pdf/twin reversed arterial perfusion (TRAP)fetal int
spellingShingle Petya Chaveeva
Slavcho Tomov
Atanas Shterev
Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the Literature
Journal of Biomedical & Clinical Research
twin reversed arterial perfusion (TRAP)
fetal int
title Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the Literature
title_full Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the Literature
title_fullStr Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the Literature
title_full_unstemmed Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the Literature
title_short Intrafetal Laser Coagulation for Trap Sequence in a Complicated Dichorionic Triamniotic Triplet Pregnancy Case Report and Review of the Literature
title_sort intrafetal laser coagulation for trap sequence in a complicated dichorionic triamniotic triplet pregnancy case report and review of the literature
topic twin reversed arterial perfusion (TRAP)
fetal int
url https://jbcr.arphahub.com/article/34482/download/pdf/
work_keys_str_mv AT petyachaveeva intrafetallasercoagulationfortrapsequenceinacomplicateddichorionictriamniotictripletpregnancycasereportandreviewoftheliterature
AT slavchotomov intrafetallasercoagulationfortrapsequenceinacomplicateddichorionictriamniotictripletpregnancycasereportandreviewoftheliterature
AT atanasshterev intrafetallasercoagulationfortrapsequenceinacomplicateddichorionictriamniotictripletpregnancycasereportandreviewoftheliterature