Anaesthetic considerations for foetal intervention in the radiological suite: A case report

Abstract

Maternal-foetal surgery is an expeditiously evolving specialty and huge progress has been made in it over the past few years. Twin reversed arterial perfusion sequence also known as “acardiac malformation” is a rare complication of twin monochorionic multiple pregnancies. One twin is acardiac and the other phenotypically normal twin drives blood through twin fetal circulations. It is called reversed perfusion because in the acardiac twin, blood flows in a reverse manner. Here, we present a case of minimally invasive fetal intervention that was successfully managed in the radiological suite itself which we believe is the first case to be reported in the literature

Keywords

• fetal intervention
• radiofrequency ablation
• twin reversed arterial perfusion sequence