Buscar en
Progresos de Obstetricia y Ginecología
Toda la web
Inicio Progresos de Obstetricia y Ginecología Gestación triple con feto acardio
Información de la revista
Vol. 46. Núm. 8.
Páginas 358-362 (Enero 2003)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 46. Núm. 8.
Páginas 358-362 (Enero 2003)
Acceso a texto completo
Gestación triple con feto acardio
Triple pregnancy with acardiac fetus
Visitas
10214
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
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
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
El Texto completo está disponible en PDF
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
Opciones de artículo
Herramientas
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos