Twin reversed arterial perfusion syndrome Anna Meshkova Article Published: Mar 7, 2016 Yaroslavl Regional Perinatal Center, Yaroslavl, Russia. Case report Following images show a case of acardiac twin pregnancy that was seen in our department at 20-21 weeks of pregnancy. Pregnancy was carried out under realtime and the Doppler evaluation was always normal: the fetus did not show any signs of cardiac failure. Gestation proceeded without complications.The neonate delivered vaginally at 40-41 weeks (weight 3600 g, 50 cm), Apgar scores 9\9. Image 1: 2D image of the acardiac twin at 21-22 weeks of gestational age. Images 2-5: 2D, 3D and doppler images of the acardiac twin at 28-29 weeks of pregnancy. Image 7: Postnatal histogram of acardius amorphous twin. Videos 1, 2 and 3:2D and doppler images showing the relation between the normal and acardiac twin. Sorry, your browser doesn't support embedded videos. Sorry, your browser doesn't support embedded videos. Sorry, your browser doesn't support embedded videos. Discussion Board Start a discussion about this article Add to Favorites Favorite