Fetal acardia in anadolescent pregnancy on the subject of a case
Keywords:
Pregnancy in Adolescence, Pregnancy Twin, Feto-Fetal Transfusion, Diseases in Twins.Abstract
Introduction:?fetal acardia is a rare complication of twin gestation. One of the twins does not have a head and/or heart, therefore he uses the heart of the other to satisfy his physiological needs. It is estimated that its frequency is 1 in every 35,000 twin pregnancies.
Presentation of the case: in this case, an adolescent pregnant woman with a twin pregnancy was described who presented cardiac alterations in the process of her first control at 12 weeks of gestation. Said alterations endanger the life of her second fetus, which is why a surgical intervention was decided on her, managing to rescue one of her fetuses.
Conclusions: doppler ultrasound has been shown to be an effective way to identify and classify acardia. Among the various forms of treatment, fetoscopic occlusion of the umbilical cord of the acardial twin managed to be a decisive technique to consider, thus avoiding further complications for the mother or the healthy twin.
Downloads
References
Olaya Contreras M, Castro Rojas DL. Feto acárdico: la malformación más grave en humanos. Patolog [Internet]. 2013 [citado 2 oct 2021]; 51: 41-6. Disponible en: http://www.medigraphic.com/pdfs/patrevlat/rlp-2013/rlp131h.pdf
Hernández Viel V, Llauger La Rosa A, Argüelles Arza M. Acardius Mylacephalus: un diagnóstico poco frecuente. Medisan [Internet]. 2017 [citado 2 oct 2021]; 21(11): 3272-377. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017001100018&lng=es
Alvear Reacos RR, Aguinaga Egas P, Acosta Vinueza Y, Gonzáles Pardo S, Reascos Paredes YL. Acardia fetal, reporte de un caso, enfoque médico y psicosocial. RevBionatura [Internet]. 2017 [citado 4 oct 2021]; 2(3): 43-5. Disponible en: https://www.revistabionatura.com/files/2017.02.03.8.pdf
Alva Menesses C, Llatas Delgado S, Montenegro Díaz K. Acardia fetal en un embarazo triple. Rev Cuerpo Med [Internet]. 2017 [citado 4 oct 2021]; 10(1): 40-42. Disponible en: https://docs.bvsalud.org/biblioref/2020/03/1052238/rcm-v10-n1-2017_pag40-42.pdf
Rivera Valdespino AC, García Jardon ME. Gestión gemelar con feto acárdico: presentación de un caso. RevHabanCiencMed [Internet]. 2014 [citado 4 oct 2021]; 13(4): 561-9. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/463
Wataganara T, Phithakwatchara N, Pooliam J, Jaingam S, Thongkloung P, Mongkolchat N et al. Morfología, patron vascular intrafetal e indices Doppler de arteria umbilical de gemelos acardíacos. PrenagDiagn[Internet]. 2020 [citado 6 oct 2021]; 40(8): 958-965. Disponible en: https://doi.org/10.1002/pd.5710.
Van Gemert MJC, Ross Mg, Van Den Wijngaard JPHM, Nikkels PGJ. Acardiactwinpregnanciespart VI: Whydoesacardiactwinningoccuronly in thefirsttrimester?BirthDefects Res [Internet]. 2021 [citado 7 oct 2021]; 113(9): 687-95. Disponible en: https://onlinelibrary.wiley.com/doi/10.1002/bdr2.1882
Vitucci A, Fichera A, Fratelli N, Sartori E, Prefumo F. Twin Reversed Arterial PerfusionSequence:CurrentTreatmentOptions.Intern Journ Women Health[Internet]. 2020 [citado 7 oct 2021]; 12: 435-443. Disponible en: https://www.dovepress.com/getfile.php?fileID=58483
Cerviño Gómez E, López Ramón y Cajal C, Piñón Mosquera A, Martínez Poch M. Secuencia TRAP. Diagnóstico diferencial en gemelo muerto. ProgObstetGinecol [Internet]. 2012 [citado 7 oct 2021]; 55(6): 277-280. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0304501312000702?via%3Dihub
Jiménez-Arredondo L, Benavides-Sánchez D, Ureña-Almanza N, Bustillos-Villavicencio J. Secuencia de perfusion arterial reversa (TRAP). Acta MédCostarric [Internet]. 2016 Dec [cited 2021 Nov 16] ; 58( 4 ): 182-4. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022016000400182&lng=en
Ruiz PAC, Álvarez SE, Miyares EC, Muñoz OM, Laguna OM, Vilas SL et al. Gran feto acardio: diagnóstico tardío de gestación gemelar monocorial biamniótica complicada por secuencia TRAP. Reporte de caso y revisión de la literatura. RevChilObstetGinecol [Internet]. 2021 [citado 9 oct 2021]; 86(1): 120133. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262021000100120&lng=es.http://dx.doi.org/10.4067/S0717-75262021000100120
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Yander Luis Izaguirre Campillo, Lizandra Pujol Arias, Blanca Margarita Angulo Peraza
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
You are free of:
- Share copy and redistribute the material in any medium or format
- Adapt Remix, transform and build from material
- The licensor cannot revoke these freedoms as long as you follow the terms of the license
Under the following terms:
- Attribution - Oh, it's a good thing. You must give adequate credit , provide a link to the license, e indicate whether changes have been made . You can do it in any reasonable way, but not in such a way as to suggest that you or your use have the support of the licensor.
- Non-Commercial - Oh, it's a . You can't make use of the material with commercial purposes .
- No additional restrictions You can't apply legal terms or technological measures that legally restrict others from making any use permitted by the license.