TRAP Sequence in an IVF Pregnancy Successfully Treated with Laser Coagulation: Case Report

Amol Lunkad; Ishita Lunkad; Amit Magdum

doi:10.5005/jogyp-11012-0001

SEARCH WITHIN CONTENT

Online First

TRAP Sequence in an IVF Pregnancy Successfully Treated with Laser Coagulation: Case Report

Amol Lunkad, Ishita Lunkad, Amit Magdum

Keywords : Case report, Diamniotic monochorionic twin pregnancy, Intrauterine laser coagulation, Twin pregnancy, Twin reversed arterial perfusion sequence

Citation Information : Lunkad A, Lunkad I, Magdum A. TRAP Sequence in an IVF Pregnancy Successfully Treated with Laser Coagulation: Case Report. J Obstet Gynaecol 2023; 1 (1):23-25.

DOI: 10.5005/jogyp-11012-0001

License: CC BY-NC 4.0

Published Online: 09-05-2023

ARTICLE
REFERENCES

Abstract

Aim and background: Twin reversed arterial perfusion (TRAP sequence) is a rare condition of monochorionic twin pregnancies in which one twin does the work of supplying blood for both twins. The twin supplying blood is known as the ‘Pump twin’, the other twin is known as the ‘Acardiac twin’ – lacks a heart or has one that is not fully formed. Incidence is 1/35,000 births and 1/100 monochorionic twin pregnancies. Case presentation: Herein, we report a case of TRAP sequence in an in-vitro fertilization (IVF) monochorionic twin pregnancy, which was successfully managed by intrauterine laser coagulation of the umbilical cord of the acardiac twin finally resulting in a live birth at 36 weeks of pregnancy. Conclusion: Twin reversed arterial perfusion sequence is a complication that is seen in monochorionic twin pregnancy, and it has a poor prognosis. Clinical significance: Early selection of proper treatment modality by making the diagnosis with ultrasonography is of great importance for a successful pregnancy outcome.

PDF Share

Malinowski W. Twin reversed arterial perfusion syndrome in historical sources. Ginpol Med Project 2019;1(51):031–039.
Nanthakomon T, Chanthasenanont A, Somprasit C, et al. Twin reversed arterial perfusion (TRAP) sequence: A case report and review of treatment. J Med Assoc Thai 2015;98(Suppl 3):S132–S140. PMID: 26387401.
Levi CS, Lyons EA, Martel MJ. Sonography of multifetal pregnancy. In: Carol M, Rumack (Eds). Diagnostic ultrasound – Volume 2, 3rd edition. Missouri: Elsivier Mosby; 2005. pp. 1207–1209.
Monteagudo A, Roman AS. Ultrasound in multiple gestations: Twins and other multifetal pregnancies. Clin Perinatol 2005;32(2):329–354. DOI: 10.1016/j.clp.2005.02.006.
Chandramouly M, Namitha. Case series: TRAP sequence. Indian J Radiol Imaging 2009;19(1):81–83. DOI: 10.4103/0971-3026.45352.
Lunkad A, Magdum A, Lunkad I, et al. Trap sequence in an IVF pregnancy successfully treated with laser coagulation – A case report. Pune Ob Gyn Society 2021;4:41–43. Available from: https://www.pogs.in/wp-content/uploads/2021/08/POGS_Star-Connect_July-2021_Digital.pdf.

PDF Share