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| Acardiac twin: Conservative management | ||||||
| Deepa V Kanagal1, Mangala Srikantaswamy2, Rashmi M Devaraj3, Maitri M Kulkarni4, Mahendra Gangadhariah4, Lokeshchandra C Hanumanalu5 | ||||||
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1M.S, DNB, Associate Professor, Department of Obstetrics and Gynecology, K.S.Hegde Medical Academy, Mangalore, Karnataka, India.
2M.D, Assistant Professor, Department of Anatomy, Rajarajeshwari Medical College Bangalore, Karnataka, India. 3M.S, Assistant Professor, Department of Obstetrics and Gynecology, J.S.S. Medical College, Mysore, Karnataka, India. 4M.S, Assistant Professor, Department of Obstetrics and Gynecology, Adichunchanagiri Institute of Medical Sciences, Mandya, Karnataka, India. 5M.D, D.G.O, Professor and Head, Department of Obstetrics and Gynecology, Mysore Medical College and Research Institute, Mysore, Karnataka, India. | ||||||
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| How to cite this article: |
| Kanagal DV, Srikantaswamy M, Devaraj RM, Kulkarni MM, Gangadhariah M, Hanumanalu LC. Acardiac twin: Conservative management. International Journal of Case Reports and Images 2013;4(9):518–523. |
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Abstract
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Introduction:
Acardiac twin is a rare anomaly occurring in 1 in 35,000 pregnancies. The outcome is fatal for the acardiac twin with a 50–75% mortality of the normal pump twin. Management options include conservative management, medical therapy, occlusion of connecting vessels and selective termination of the acardiac twin. The Management of a twin pregnancy complicated by an acardiac twin is a challenge because the continuous growth of the acardiac fetus is deleterious to the healthy pump twin leading to cardiac insufficiency, polyhydramnios, prematurity and even death of the normal twin.
Case Report: We report three cases of acardiac twinning which presented with different manifestations, acardius acephalus, acardius myelocephalus and acardius amorphous. All the three cases were managed conservatively with good outcome of the pump twin in all the cases. We present the cases with review of literature. Conclusion: Conservative non-intervention may be appropriate in developing countries with low resources. | |
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Keywords:
Acardiac twins, Twin pregnancy, Conservative management
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Author Contributions
Deepa V Kanagal – Substantial contributions to conception and design, acquisition of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published Mangala Srikantaswamy – Substantial contributions to conception and design, acquisition of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published Rashmi M Devaraj – Substantial contributions to conception and design, acquisition of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published Maitri M Kulkarni – Substantial contributions to conception and design, acquisition of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published Mahendra Ganagadharaiah – Substantial contributions to conception and design, acquisition of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published Lokeshchandra C Hanumanalu – Substantial contributions to conception and design, acquisition of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Deepa V Kanagal et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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