raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:617297

Twin-reversed arterial perfusion sequence

Synonyms: TRAP

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Antenatal
Status
active

A rare disorder related to monochorionic twin pregnancy characterized by complete or partial absence of cardiac development in one twin (''acardiac twin'') and blood supply of both circulations by the morphologically normal co-twin (''pump twin'') via an arterioarterial anastomosis. In most cases, the acardiac twin has well developed legs and pelvis but no cephalic pole, thoracic organs, and upper extremities. The condition is associated with a high risk of perinatal death of the pump twin due to a combination of high-output cardiac failure and polyhydramnios-related pre-term birth. Hypoxia and intrauterine growth restriction are also seen in the pump twin.

1

Names in Orphadata languages

10 of 12 languages
LangNameSynonyms
enTwin-reversed arterial perfusion sequenceTRAP
frSéquence de perfusion artérielle inverséeSéquence TRAP · Séquence de perfusion artérielle inversée gémellaire
deUmgekehrte arterielle Perfusionssequenz bei ZwillingenTRAP-Sequenz
esSecuencia de perfusión arterial reversa en gemelos= en
itSequenza da perfusione arteriosa inversa tra gemelli= en
nlOmgekeerde arteriële perfusie bij tweeling-sequentieAcardiacus-tweelingzwangerschap · TRAP · Twin reversed arterial perfusion-sequentie
ptSequência gemelar de perfusão arterial inversa= en
plZespół odwróconej perfuzji tętniczej u bliźniąt= en
csSekvence reverzní arteriální perfuze u dvojčat (TRAP)= en
ukПослідовність оборотної артеріальної перфузії у близнюків= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10O43.0NTBTattributedvalidated
ICD-11KA02.4NTBTattributedvalidated
MONDO0850014Evalidated
UMLSC5575500Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidated20522408[PMID]_ORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card