Antenatal diagnosis of acephalus acardia: A proposed management scheme

An Acephalus Acardius Amorphous Fetus in a Monochorionic Pregnancy With Sex Discrepancy

“…The mortality rate is around 50% to 75% in the pump twin, mostly due to heart failure, and 100% in the perfused one (Czichos et al, 2005;Fries et al, 1992;Malinowski & Szwalski, 2004;Moore et al, 1990;Rajesh et al, 2004;Torres Borrego et al, 2000). In the case here reported we observed gross dysmorphic features in the malformed twin and extensive vascular anastomoses in the fused placenta, suggesting that the low pressure and hypoxigenated blood which nourished it could explain the extremely severe dismorphic sequence as suggested in previous reports (Buntinx et al, 1991;Cardwell, 1988;Coulam & Wright, 2000;Goh et al, 1994;Kosno-Kruszewska et al, 2003;Malhotra et al, 2004;Moore et al, 1987;Platt et al, 1983;Rajesh et al, 2004;Robie et al, 1989;Sergi et al, 2000;Sharma et al, 1993;Torres Borrego et al, 2000).…”

Constriction of an Extremity after Amnioreduction in a TRAP-Like Sequence

“…Irrespectively of the pathogenetic mechanism, the small size of the parasite fits in with its early intrauterine demise. Decompression of polyhy dramnios by amniocentesis has been used successfully to prolong TRAP pregnancies [9] even without any correc tion of the pathophysiological mechanism. However, amnioreduction can be hazardous.…”

Color-flow and Doppler velocimetry in prenatal diagnosis of acardiac triplet.

“…Platt and Devore discussed the possibility of damping or clipping the cord of the acardiac fetus. 11 Selective feticide by intracardiac lethal injection is not feasible due to the absence of the heart and the passive circulation of the acardiac fetus. 12 Hysterotomy and selective delivery of the acardiac twin (sectio parva) has been reported.…”