Key result
A rare case of twin reversed arterial perfusion sequence was identified with an acardiac, anencephalic twin and a pump twin presenting with transposition of the great arteries.
Case Report (n=1)
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This case report highlights an extremely rare occurrence of a major cardiac anomaly (transposition of great arteries) in the pump twin of a twin reversed arterial perfusion sequence.
We report here a case of twin reversed arterial perfusion sequence with transposition of great arteries in the pump twin. Color Doppler and fetal echocardiographic examination revealed an acardiac, anencephalic twin without upper limbs and a pump twin with transposition of great arteries. To our knowledge despite multiple anomalies reported in the acardiac twin, major anomalies, especially of a cardiac type are extremely rare and not reported in the pump twin, which maintains circulation. Management is directed at saving the pump fetus; therefore, we believe that during sonographic exam, emphasis should be placed on associated organ anomalies or complications that may hamper viability of the pump.
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Üstüner et al. (2005) conducted a case report in Twin reversed arterial perfusion sequence with transposition of great arteries (n=1). A rare case of twin reversed arterial perfusion sequence was identified with an acardiac, anencephalic twin and a pump twin presenting with transposition of the great arteries.
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