Intrauterine Treatment of Monochorionic Triamniotic Triplet Pregnancy with Twin Reverse Arterial Perfusion Sequence  

作　　者：Xiaomin Zhao Yongmei Shen Lying Yao Lei Zhang Shanshan Li Wen Li Hong Yu Ling Chen Ying Chang 

机构地区：[1]Tianjin Key Laboratory of Human Development and Reproductive Regulation,Tianjin Central Hospital of Obstetrics and Gynecology/Nankai University Affiliated Maternity Hospital,Tianjin 300100,China [2]Prenatal Diagnosis Center,Tianjin Central Hospital of Obstetrics and Gynecology/Nankai University Affiliated Maternity Hospital,Tianjin 300100,China [3]Radiology Department,Tianjin Central Hospital of Obstetrics and Gynecology/Nankai University Affiliated Maternity Hospital,Tianjin 300100,China [4]Pathology Department,Tianjin Central Hospital of Obstetrics and Gynecology/Nankai University Affiliated Maternity Hospital,Tianjin 300100,China

出　　处：《Maternal-Fetal Medicine》2024年第2期120-123,共4页母胎医学杂志（英文）

基　　金：National Key Specialized Disease Queue project(GJZDZKZBDL2022-04);National Natural Science Foundation of China(82001579);Natural Science Foundation of Tianjin(22JCYBJC01110).

摘　　要：To editor:This study reports a pregnant woman who was naturally conceived with monochorionic triamniotic(MCTA)combined with twin reversed arterial perfusion(TRAP).An ultrasound revealed that one of the fetuses had a cardiac malformation,and a connection between the umbilical arteries was suspected.To reduce the acardiac fetus,radiofrequency ablation was performed at 17+3 weeks of pregnancy.At 36+4 weeks,two healthy infants were delivered via elective cesarean section.Postoperative examination revealed a direct connection between the umbilical arteries,with the placental perfusion acting as a direct pump.It is essential to identify the intrauterine status of the blood-supplying infant and vascular connections in order to achieve successful outcomes in pregnancies with complications,such as edema and heart failure.The studies involving human participants were reviewed and approved by Human Research Ethics Committee of Tianjin Central Hospital of Obstetrics and Gynecology.The patient provided her written informed consent to participate in this study.

关 键 词：Twinning Embryonic Monochorionic triamniotic Twin reversed arterial perfusion sequence Fetus reduction Placental perfusion 

分 类 号：R714.23[医药卫生—妇产科学]