Indirect pump: unique presentation of a monochorionic-triamniotic triplet gestation complicated by TRAP sequence and successfully managed with radiofrequency ablation of the acardiac fetus.

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  • Author(s): Argoti PS;Argoti PS; Bebbington MW; Johnson A; Moise KJ Jr
  • Source:
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology [Ultrasound Obstet Gynecol] 2013 Jul; Vol. 42 (1), pp. 115-7.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: John Wiley & Sons, Ltd Country of Publication: England NLM ID: 9108340 Publication Model: Print Cited Medium: Internet ISSN: 1469-0705 (Electronic) Linking ISSN: 09607692 NLM ISO Abbreviation: Ultrasound Obstet Gynecol Subsets: MEDLINE
    • Publication Information:
      Publication: 2003- : Chichester, West Sussex, UK : John Wiley & Sons, Ltd.
      Original Publication: Carnforth, Lancs, UK ; Park Ridge, N.J., USA : Parthenon Pub., c1991-
    • Subject Terms:
      Catheter Ablation*/methods; Fetal Heart/*pathology ; Fetofetal Transfusion/*pathology ; Placenta/*pathology ; Pregnancy Reduction, Multifetal/*methods; Child, Preschool ; Female ; Fetal Heart/abnormalities ; Fetal Heart/diagnostic imaging ; Fetofetal Transfusion/diagnostic imaging ; Fetofetal Transfusion/therapy ; Hemodynamics ; Humans ; Infant, Newborn ; Placenta/blood supply ; Pregnancy ; Treatment Outcome ; Triplets ; Ultrasonography, Prenatal
    • Abstract:
      Twin reversed arterial perfusion (TRAP) sequence is a rare complication of multiple gestations. Only a few cases of TRAP sequence in monochorionic triplets have been reported. Here we report a case of TRAP sequence in a monochorionic-triamniotic triplet gestation treated with radiofrequency ablation of the acardiac fetus. The response to the radiofrequency ablation procedure and subsequent examination of the placenta support the hypothesis of an 'indirect' pump triplet.
      (Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.)
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    • Grant Information:
      T32 GM007471 United States GM NIGMS NIH HHS
    • Publication Date:
      Date Created: 20121128 Date Completed: 20140505 Latest Revision: 20211021
    • Publication Date:
      20240829
    • Accession Number:
      PMC7029381
    • Accession Number:
      10.1002/uog.12354
    • Accession Number:
      23180636