Intrafetal laser therapy for twin reverse arterial perfusion sequence (TRAP). Case report and literature review
DOI:
https://doi.org/10.31403/rpgo.v68i2459Keywords:
Pregnancy, multiple, Laser coagulation, Fetal Therapies, Ultrasonography, prenatal, Minimally invasive surgical proceduresAbstract
A 41-year-old primigravida with double monochorionic biamniotic gestation, with
a diagnosis of twin reverse arterial perfusion sequence (TRAP) and poor perinatal
prognosis underwent intrafetal laser surgery at 18 weeks of gestation. It was
complicated with premature rupture of membranes that was managed expectantly
until 33 weeks 3 days, when elective caesarean section was performed without
complications. A healthy live newborn of 2,255 g was obtained and was discharged
from the hospital on the 15th day of birth without complications. We report the first
case of intrafetal laser surgery performed in our country and highlight its efficacy,
simplicity, low cost and ambulatory approach in cases of TRAP sequence.
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Copyright (c) 2022 Erasmo Huertas Tacchino, Adelita Hijar, Fiorella Canevaro Sesarego, Marzhio Edwin Campos Castañeda, Ernesto Israel Benavidez Carbajal
This work is licensed under a Creative Commons Attribution 4.0 International License.
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