alexa Acardiac twins: pathophysiology, diagnosis, outcome and treatment. Six cases and review of the literature.
Reproductive Medicine

Reproductive Medicine

Journal of Pregnancy and Child Health

Author(s): Sgaard K, Skibsted L, Brocks V

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Abstract Twin gestation is often a hazardous pregnancy and especially the monochorionic twin pregnancy significantly contributes to fetal morbidity and mortality. Among the serious complications with twins, the twin-twin transfusion syndrome complicates 5-35\% of monozygotic twin pregnancies with monochorionic placentation. Acardiac twinning, earlier known as chorioangiopagus parasiticus, is the most extreme manifestation of this condition. An acardiac twin is a rare complication of multifetal pregnancy, in the literature reported at an incidence of 1\% of monochorionic twin pregnancies, i.e. 1 of 35,000 pregnancies. In the following paper we review the literature on the subject and report 6 cases, 5 twins and 1 triplet, that were diagnosed at our department during the period of 1993-1997 and treated conservatively. Only 1 child survived. This article was published in Fetal Diagn Ther and referenced in Journal of Pregnancy and Child Health

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