TRAP sequence – A case of successful conservative management

Detalhes bibliográficos
Autor(a) principal: Varejão, Ana
Data de Publicação: 2024
Outros Autores: Dória, Mariana, Laranjo, Mafalda, Soares, Fátima, Sarmento Gonçalves, Inês
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: https://doi.org/10.25753/BirthGrowthMJ.v33.i1.26665
Resumo: Twin reversed arterial perfusion (TRAP) is a rare sequence that complicates monochorionic multiple pregnancies. This condition affects both fetuses - the acardiac twin and the pump twin.  This report presents the case of a monochorionic multiple pregnancy complicated by TRAP diagnosed in the first trimester. After clarifying the couple and multidisciplinary discussion, conservative management was chosen because no genetic abnormalities or complications were identified in the normal twin development throughout pregnancy, and the acardiac twin stopped growing at 16 weeks, resulting in a vaginal term delivery of a healthy baby. In utero intervention is currently the first-line treatment option in these cases, but several studies have reported the benefits of an expectant approach. The optimal approach has not yet been established. 
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spelling TRAP sequence – A case of successful conservative managementSequência TRAP – Um caso de sucesso com abordagem conservadoraCase ReportsTwin reversed arterial perfusion (TRAP) is a rare sequence that complicates monochorionic multiple pregnancies. This condition affects both fetuses - the acardiac twin and the pump twin.  This report presents the case of a monochorionic multiple pregnancy complicated by TRAP diagnosed in the first trimester. After clarifying the couple and multidisciplinary discussion, conservative management was chosen because no genetic abnormalities or complications were identified in the normal twin development throughout pregnancy, and the acardiac twin stopped growing at 16 weeks, resulting in a vaginal term delivery of a healthy baby. In utero intervention is currently the first-line treatment option in these cases, but several studies have reported the benefits of an expectant approach. The optimal approach has not yet been established. A sequência TRAP (twin reversed arterial perfusion) é uma complicação rara das gestações múltiplas monocoriónicas. Esta condição tem consequências para ambos os fetos – o feto acárdico e o feto “bomba”. O presente caso refere-se a uma gestação gemelar monocoriónica complicada por TRAP diagnosticada no primeiro trimestre. Após discussão multidisciplinar eesclarecimento do casal, foi decidida a abordagem conservadora por não se verificarem anomalias genéticas ou outras complicações no desenvolvimento do feto normal e o desenvolvimento do feto ter sido interrompido às 16 semanas de gestação. A gravidez resultou num parto eutócico a termo. Apesar de não existir ainda consenso quanto à abordagem ideal, vários estudos tê, demonstrado a validade das abordagens conservadoras em detrimento da intervenção in utero.Unidade Local de Saúde de Santo António2024-04-05info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v33.i1.26665eng2183-9417Varejão, AnaDória, MarianaLaranjo, MafaldaSoares, FátimaSarmento Gonçalves, Inêsinfo:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-07-04T17:00:13Zoai:ojs.revistas.rcaap.pt:article/26665Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T14:39:48.168326Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv TRAP sequence – A case of successful conservative management
Sequência TRAP – Um caso de sucesso com abordagem conservadora
title TRAP sequence – A case of successful conservative management
spellingShingle TRAP sequence – A case of successful conservative management
Varejão, Ana
Case Reports
title_short TRAP sequence – A case of successful conservative management
title_full TRAP sequence – A case of successful conservative management
title_fullStr TRAP sequence – A case of successful conservative management
title_full_unstemmed TRAP sequence – A case of successful conservative management
title_sort TRAP sequence – A case of successful conservative management
author Varejão, Ana
author_facet Varejão, Ana
Dória, Mariana
Laranjo, Mafalda
Soares, Fátima
Sarmento Gonçalves, Inês
author_role author
author2 Dória, Mariana
Laranjo, Mafalda
Soares, Fátima
Sarmento Gonçalves, Inês
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Varejão, Ana
Dória, Mariana
Laranjo, Mafalda
Soares, Fátima
Sarmento Gonçalves, Inês
dc.subject.por.fl_str_mv Case Reports
topic Case Reports
description Twin reversed arterial perfusion (TRAP) is a rare sequence that complicates monochorionic multiple pregnancies. This condition affects both fetuses - the acardiac twin and the pump twin.  This report presents the case of a monochorionic multiple pregnancy complicated by TRAP diagnosed in the first trimester. After clarifying the couple and multidisciplinary discussion, conservative management was chosen because no genetic abnormalities or complications were identified in the normal twin development throughout pregnancy, and the acardiac twin stopped growing at 16 weeks, resulting in a vaginal term delivery of a healthy baby. In utero intervention is currently the first-line treatment option in these cases, but several studies have reported the benefits of an expectant approach. The optimal approach has not yet been established. 
publishDate 2024
dc.date.none.fl_str_mv 2024-04-05
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25753/BirthGrowthMJ.v33.i1.26665
url https://doi.org/10.25753/BirthGrowthMJ.v33.i1.26665
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Unidade Local de Saúde de Santo António
publisher.none.fl_str_mv Unidade Local de Saúde de Santo António
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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