Key result
In a case of TRAP sequence with a 76% twin weight ratio, the pump twin survived with a mild clinical picture including premature birth, transient fetal hydrops, and mild myocardial hypertrophy.
Case Report (n=2)
This case demonstrates that a pump twin in TRAP sequence can have a mild and resolving clinical course despite a high twin weight ratio.
TRAP (Twin Reversed Arterial Perfusion) sequence is a rare malformation that occurs in monozygotic twin pregnancies. Twin weight ratio in our case was 76% (body weight of pump twin was 1800 g, acardiac twin 1370 g), but in spite of that the pump twin had a mild clinical picture with premature birth, fetal hydrops (mild pleural effusion; hypoproteinemia; on the 3rd day of life the baby was without edema and the level of his serum proteins were in referral ranges) and mild myocardial hypertrophy of left ventricle (echocardiography performed on the 28th day of life was normal).
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Doronjski et al. (2014) conducted a case report in TRAP (Twin Reversed Arterial Perfusion) sequence (n=2). In a case of TRAP sequence with a 76% twin weight ratio, the pump twin survived with a mild clinical picture including premature birth, transient fetal hydrops, and mild myocardial hypertrophy.
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