Key result
Conservative therapy successfully managed two cases of acardiac twin pregnancies prenatally diagnosed by ultrasound.
Why the study?
Does conservative therapy improve outcomes in acardiac twin pregnancies?
Case Report (n=2)
Does conservative therapy improve outcomes in acardiac twin pregnancies?
Conservative therapy can be successfully used to manage congestive heart failure in the normal twin of an acardiac twin pregnancy.
May support conservative management in select acardiac twin cases; leaves open need for prospective data before practice change.
The acardius syndrome is a rare complication of monozygotic twin pregnancies, occurring in 35,000 births. Development results from arterio-arterial and veno-venous anatomoses leading to predominance of one of the twins. The acardiac twin is grossly abnormal and the outcome is invariably fatal. The normal twin provides circulation for itself as well as the acardiac and the perinatal mortality is about 50-70%, as the result of congestive heart failure. Conservative therapy may be important for congestive cardiac failure in the normal twin. Surgical therapy is direct to maintain the pump fetus by interrupting the vascular communication between the twins. We present two cases of acardiac twin prenatally diagnosed by ultrasound and successfully managed by conservative therapy.
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Pezzati et al. (1997) conducted a case report in Acardius syndrome (acardiac twin pregnancy) (n=2). Conservative therapy was evaluated on Successful management. Conservative therapy successfully managed two cases of acardiac twin pregnancies prenatally diagnosed by ultrasound.
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