Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019 , Vol 10, Issue 1
A-Cardiac Twin: Two Different Cases and Two Different Prognosis
Talat Umut Kutlu Dilek1,Güngör Gonca Yıldırım2,Savaş Gündoğan1
1Acıbedem Üniversitesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye
2Acıbadem Üniversitesi Atakent Hastanesi, Yüksek Riskli Gebelikler Hemşiresi, İstanbul, Türkiye
DOI : 10.31067/0.2019.114 A-cardiac twin pregnancy is a rare complication occurs in 1,46 %of all monochorionic twin pregnancies. The fetus whose heart and upper body haven"t been developed and the rest of the body has its blood supply from a branch of the umbilical artery can be considered a healthy fetus?!. Usually the complication can be diagnosed in the end of 1st trimester and if the anastomosis of circulation isn"t separated on time, the mortality rate for the healthy fetus who has the blood pumper role will be 55 %. So the obstetric problems such as preterm delivery increase. The death for the fetus who has no heart is certain. Therefore, stopping the blood circulation of the fetus with cardiac abnormality is the main approach to prevent problems such as the lose of the healthy fetus and preterm delivery. We aim to discuss the clinical management of two cases which have been diagnosed with TRAP (Twin Reversed Arterial Transfusion) in their 11th week of gestation and have had totally different prognosis. Keywords : A-cardiac, twin, pregnancy, TRAP, monochorionics