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Vol. 46. Núm. 8.
Páginas 358-362 (enero 2003)
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Vol. 46. Núm. 8.
Páginas 358-362 (enero 2003)
Acceso a texto completo
Gestación triple con feto acardio
Triple pregnancy with acardiac fetus
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10341
J.A. Sainz
Autor para correspondencia
ginjsb2@wanadoo.es

Correspondencia: Virgen de la Esperanza, 29, bloque 7, piso 3C. 41012 Sevilla. España
, A. Marín, E. Turmo, I. Gasca, V. Caballero, M. Caballero, R. Garrido
Servicio de Ginecología y Obstetricia. Hospital Universitario de Valme. Sevilla. España
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Información del artículo
Resumen

El feto acardio es una complicación rara, de etiología incierta, que dificulta las gestaciones múltiples y especialmente las gemelares univitelinas. Se trata de un parásito que requiere aporte sanguíneo del feto normal, poniendo a éste en riesgo de padecer un fallo cardíaco. Presentamos un caso de gestación triple con feto acardio identificado en la semana 13, con diferencia de peso entre fetos normales y acardio mayor del 50%, tratado de forma expectante y con finalización de la gestación favorable para los dos fetos normales

Palabras clave:
Feto acardio
Perfusión arterial inversa gemelar
Gestación múltiple
Gestación monocorial
Summary

Acardius is a rare complication of multiple pregnancies, especially those involving identical twins. The etiology is unknown. The acardiac fetus is a parasite that requires blood flow from the normal fetus, thus increasing the risk of heart failure. We present the case of a triple pregnancy with an acardiac fetus identified in the 13th week of gestation. The difference in weight between the normal fetuses and the acardiac fetus was greater than 50%. No treatment was provided, and the pregnancy ended with a favorable outcome for the two normal fetuses

keywords:
Acardiac fetus
Twin reversed arterial perfusion sequence
Multiple pregnancy
Monochorionic pregnancy
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Bibliografía
[1.]
M.S. Cardwell.
The acardiac twin. A case report.
J Reprod Med, 33 (1988), pp. 320-322
[2.]
K.L. Billah, K. Shah, C. Odwin.
Ultrasonic diagnosis and management of acardius acephalus twin pregnancy.
Med Ultrasound, 8 (1984), pp. 108-113
[3.]
H.J. Landy, J.W. Larsen Jr., M. Schoen, M.E. Larsen, S.G. Kent, A.B. Weingold.
Acardiac fetus in triplet pregnancy.
Teratology, 37 (1988), pp. 1-6
[4.]
H. Sanjaghsaz, M.O. Bayram, F. Queshi.
Twin reversed arterial perfusion sequence in conjoined acardiac, acephalic twins associated with a normal tripet. A case report.
J Reprod Med, 43 (1998), pp. 1046-1050
[5.]
A. Galindo, F. Gutiérrez-Larraya, J.I. Olaizola.
Twin pregnancies with acardiac fetus: review and two cases report.
Prog Obst Ginecol, 39 (1996), pp. 301-308
[6.]
K. Hecher, Y. Ville, K.H. Nicolaides.
Color Doppler ultrasonography in the identification of communicating vessels in twintwin transfusion syndrome and acardiac twins.
J Ultrasound Med, 14 (1995), pp. 37-40
[7.]
P. Scwarzler, Y. Ville, G. Moscoco, et al.
Diagnosis of twin reversd arterial perfusion sequence in the first trimester by transvaginal color Doppler ultrasound.
Ultrasound Obstet Gynecol, 13 (1999), pp. 143-146
[8.]
T. Papa, A. Dao, J.P. Burner.
Pathognomonic sign of twin reversed arterial perfusion using color Doppler sonography.
J Ultrasound Med, 16 (1997), pp. 501-503
[9.]
M. Van Allen, D. Smith, T. Shepard.
Twin reversed arterial perfusion (TRAP) sequence: a study of 14 twin pregnancies with acardius.
Sem Perinatol, 7 (1983), pp. 285-293
[10.]
C.B. Benson, F.R. Bieber, D.R. Genest, P.M. Doubilet.
Doppler demonstration of reversed umbilical blood flow in an acardiac twin.
J Clin Ultrasound, 17 (1989), pp. 291-295
[11.]
A.E. Donnenfeld, J. Van de Woestijne, F. Craparo, C.S. Smith, A. Ludomirsky, S. Weiner.
The normal fetus of an acardiac twin pregnancy: perinatal management based on echocardiographic and sonographic evaluation.
Prenat Diagn, 11 (1991), pp. 235-244
[12.]
K. Bernirschke, V. Des Roches Harper.
The acardiac anomaly.
Teratology, 15 (1977), pp. 311-316
[13.]
W. Blaicher, C. Repa, A. Schaller.
Acardiac twin pregnancy: Associated with trisomy 2: case report.
Hum Reprod, 5 (2000), pp. 474-475
[14.]
A. Nerlich, J. Wisser, A. Draeger, W. Nathrath, K. Remberger.
Human acardiac anomaly: a report of three cases.
Eur J Obstet Gynecol Reprod Biol, 38 (1991), pp. 79-85
[15.]
T.R. Moore, S. Gale, K. Benirschke.
Perinatal outcome of fortynine pregnacies compliced by acardiac twinning.
Am J Obstet Gynecol, 163 (1990), pp. 907-912
[16.]
M. Cox, K. Murphy, G. Ryan, J. Kingdom, M. Whittle, M. McNay.
Spontaneous cesation of umbilical blood flow in the acardius fetus of a twin pregnancy.
Prenat Diagn, 12 (1992), pp. 689-693
[17.]
A.E. Donnenfeld, J. Van de Woestijne, F. Craparo, C.S. Smith, A. Ludomirsky, S. Weiner.
The normal fetus of an acardiac twin pregnancy: perinatal management based on echocardiographic and sonographic evaluation.
Prenat Diagn, 11 (1991), pp. 235-244
[18.]
P.C. Simpson, B.J. Trudinger, A. Walker, P.J. Blaird.
The intrauterine treatment of fetal cardiac failure in a twin pregnancy with an acardiac, acephalic monster.
Am J Obstet Gynecol, 147 (1983), pp. 842-847
[19.]
K. Ash, C.R. Harman, H. Gritter.
TRAP sequence-successful outcome with indomethacin treatment.
Obstet Gynecol, 76 (1990), pp. 960-962
[20.]
N.J. Saunders, R.J.M. Snijders, K.H. Nicolaides.
Therapeutic amniocentesis in twin-twin transfusion syndrome appearing in the second trimester of pregnancy.
Am J Obstet Gynecol, 166 (1992), pp. 820-824
[21.]
R. Quintero, H. Muñoz, J. Hasbun, R. Pommer, J. Gutiérrez, J. Sánchez, et al.
Fetal endoscopic surgery in a case of twin pregnancy complicated by reversed arterial perfusion sequence.
Rv Chil Obstet Ginecol, 60 (1995), pp. 112-116
[22.]
W. Sepúlveda, S. Bower, J. Hassan, N.H. Fisk.
Ablation of acardiac twin by alcohol injection into the intraabdominal umbilical artery.
Obstet Gynecol, 86 (1995), pp. 680-681
[23.]
J. De Lia, D.P. Cruikshank, W.R. Keye.
Fetoscopic Neodymium: YAG laser occlusion of placental vessels in severe twin-twin transfusion syndrome.
Obstet Gynecol, 75 (1990), pp. 1046-1052
[24.]
K. Hecher, U. Reinhold, K. Gbur, B.J. Mackeloer.
Interruption of umbilical blood flow in acardiac twin by endoscopic laser coagulation.
Geburtshiife Frauenheilkd, 56 (1996), pp. 97-100
[25.]
K. Hecher, B.J. Hackeloer, Y. Ville.
Umbilical cord coagulation by operative microendoscopy at 16 weeks'gestation in an acardiac twin.
Ultrasound Obstet Gynecol, 10 (1997), pp. 130-132
Copyright © 2003. Sociedad Española de Ginecología y Obstetricia
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