HỘI CHỨNG BƠM MÁU ĐỘNG MẠCH ĐẢO NGƯỢC TRONG SONG THAI: BÁO CÁO MỘT CA BỆNH HIẾM GẶP

Abstract

Twin Reversed Arterial Perfusion Squence (TRAPS) is one of the extremely rare and severe complications, occurring in about 1% of monochorionic twins and about 1/35,000 births [ 3]. In TRAPS, the pump twin increases the risk of death due to the rised circulatory burden supporting the acardiac twin and the risk of premature birth leading to a mortality rate of the pump twin of up to 55% [3]. Case report: We report a case of a pregnant woman admitted to our hospital at 35 weeks and 6 days gestation with TRAPS grade IIb, who was delivered by cesarean section because of placental circulation insufficiency of pump twin. After surgery, she was stable and her baby was cared for in the pediatric intensive care unit. Conclusion: TRAPS is a rare syndrome but should be noted in cases of monochorionic twins and recognition of a retained fetus. In this case, prophylactic treatment by stopping the blood supply to the fetus without a heart should be considered to reduce complications on the pumping fetus