It is a severe variant of twin-to-twin transfusion syndrome (TTTS). [2] In addition to the twins' blood systems being connected instead of independent, one twin, called the acardiac twin, TRAP fetus [3] or acardius, is severely malformed. This topic will discuss issues related to TRAP sequence.

Understanding the Context

More common complications of monochorionic twinning, such as twin-twin transfusion syndrome (TTTS), twin anemia-polycythemia sequence (TAPS), and selective fetal growth restriction (sFGR) are reviewed separately. TRAP syndrome is a rare twin pregnancy condition where one twin supports circulation for both. Learn how it develops, risks involved, and treatment options. Twin reversed arterial perfusion (TRAP) sequence is a rare condition that affects pregnancies with identical twins who share a placenta.

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Key Insights

The syndrome occurs when one of the twins lacks a functioning heart and gets blood from the other twin. Information on TRAP sequence or acardiac twin, including diagnosis, causes, outcomes, fetal treatment options, and support resources. Twin reversed arterial perfusion (TRAP sequence) is a rare condition of monochorionic twin pregnancies. It arises when the cardiac system of one twin does the work of supplying blood for both twins. The twin supplying the blood is known as the "pump twin" and develops normally in the womb.

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Final Thoughts

Twin reversed arterial perfusion (TRAP) sequence is a rare complication of identical monochorionic twin pregnancies (a pregnancy where twins share the placenta). With TRAP, one twin (known as the acardiac twin) does not develop a functional heart, or their heart is severely underdeveloped. Twin reversed arterial perfusion (TRAP) sequence is a specific and severe complication of monochorionic multiple pregnancy, characterized by vascular anastomosis and partial or complete lack of cardiac development in one twin.