Key result
Selective fetocide fails in a twin pregnancy with acardius anceps and total placenta previa.
Case Report (n=1)
Describes the sonographic diagnosis and management challenges of a twin pregnancy complicated by acardius anceps and placenta previa.
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Selective fetocide may fail in acardiac twins with placenta previa; case reports leave optimal management unresolved.
The sonographic diagnosis of a twin pregnancy complicated by acardius anceps of one fetus, total placenta previa, uterine overdistension, and preterm labor is presented and management is discussed. Attempted selective fetocide is described, but was not successful. Clinical management of severe discordant sonographic dysmorphology is discussed, and diagnostic criteria for sonographic diagnosis of acardia are presented.
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Seeds et al. (1987) conducted a case report in Twin pregnancy with placenta previa and hemicardia (acardius anceps) (n=1). Selective fetocide was evaluated. Attempted selective fetocide in a twin pregnancy complicated by acardius anceps and total placenta previa was not successful.
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