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J Biomed Clin Res Volume 10 Number 2, 2017

'2,MEFU Case Report

INTRAFETAL LASER COAGULATION FOR TRAP SEQUENCE IN A


COMPLICATED DICHORIONIC TRIAMNIOTIC TRIPLET PREGNANCY
CASE REPORT AND REVIEW OF THE LITERATURE
Petya P. Chaveeva, Summary
Slavcho T. Tomov1,
Atanas D. Shterev A rare case is reported of twin-reversed arterial perfusion
(TRAP) sequence in a triplet pregnancy, fetal intervention in
Department of Fetal Medicine, WKH¿UVWWULPHVWHUDQGSUHJQDQF\RXWFRPH:HUHSRUWDFDVH
Specialized Hospital for Active RI75$3 VHTXHQFH FRPSOLFDWLRQ LQ GLFKRULRQLF WULDPQLRWLF
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Treatment of Obstetrics and
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Bulgaria IHWXV75$3VHTXHQFHZDVGLDJQRVHGDWZHHNVLQWULSOHW
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Department of Midwifery, Medical SUHJQDQF\ DIWHU LQ YLWUR IHUWLOL]DWLRQ ,9)  DQG HPEU\R
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Key words: twin reversed arterial perfusion (TRAP), fetal
intervention, triplet pregnancy, intrafetal laser coagulation

Introduction

Twin-reversed arterial perfusion (TRAP) sequence is a


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Monozygotic twin pregnancies have a different
Corresponding Author: type of chorionicity, depending on the stage at which
Petya P. Chaveeva cleavage occurs WR IRUP WKH WZR HPEU\RV ,I WKH
Department of Fetal Medicine, cleavage occurs within three days after fertilization on
Specialized Hospital for Active Treatment WKHPRUXODVWDJH,WKHSUHJQDQF\ZLOOEHPRQR]\JRWLF
of Obstetrics and Gynecology “Dr.
dichorionic ,I WKH FOHDYDJH RFFXUV DIWHU WKH WK GD\
Shterev”,
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25-31, Hristo Blagoev Str.
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Received: 1RYHPEHU as a conjoined twin pregnancy, which is the fourth
Revision received: )HEUXDU\ W\SH RI PRQR]\JRWLF SUHJQDQF\ 7KH PDMRU LPSDFW
Accepted: )HEUXDU\ RQSUHJQDQF\RXWFRPHLVDVVRFLDWHGZLWKFKRULRQLFLW\

© Medical University Pleven Unauthentifiziert | Heruntergeladen 23.03.20 13:27 UTC
Chaveeva P, et al. Intrafetal laser coagulation for trap sequence ...

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© Medical University Pleven Unauthentifiziert | Heruntergeladen 23.03.20 13:27 UTC
J Biomed Clin Res Volume 10 Number 2, 2017

Figure1. Twin reverced arterial perfusion sequence (TRAP)


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© Medical University Pleven Unauthentifiziert | Heruntergeladen 23.03.20 13:27 UTC
Chaveeva P, et al. Intrafetal laser coagulation for trap sequence ...

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© Medical University Pleven Unauthentifiziert | Heruntergeladen 23.03.20 13:27 UTC
J Biomed Clin Res Volume 10 Number 2, 2017

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