Case Report

A Case of Monochorionic-Triamniotic Triplet Pregnancy with TRAP Sequence Successfully Treated with Radiofrequency Ablation with a Parallel Circuit Consisting of Anastomosed Blood Vessels between the Direct Pump Fetus and the Indirect Pump Fetus

Table 1

Blood flow changes of the direct pump fetus and the indirect pump fetus around RFA.

Direct pump fetus 
(fetus B)
Indirect pump fetus 
(fetus C)
Pre-interventionPost-interventionPre-interventionPost-intervention

UA-PI1.251.190.970.95
MCA-PSV (cm/s)24.322.221.523.4
DV-PI0.420.480.370.45
UV-pulsationnononono
MVP (cm)4.34.53.84

UA-PI, pulsatility index of the umbilical artery; MCA-PSV, middle cerebral arterial peak systolic velocity; DV-PI, pulsatility index of the ductus venosus; UV-pulsation, pulsation of the umbilical vein; MVP, maximal vertical pocket.