Intrafetal laser therapy for twin reverse arterial perfusion sequence (TRAP). Case report and literature review

Tacchino E.H.; Hijar A.; Sesarego F.C.; Castañeda M.E.C.; Carbajal E.I.B. · Revista Peruana de Ginecologia y Obstetricia (2022) · DOI: 10.31403/rpgo.v68i2459

Resumen

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. © Peruvian Society of Obstetrics and Gynecology. All rights reserved.

Instituciones: Universidad Nacional Mayor de San Marcos