Management Management has consisted in termination of pregnancy or interruption of flow to the acardiac fetus, by surgical extraction and ligation, fetoscopic umbilical cord ligation, embolization, laser vaporization. A conservative management aimed at supporting the cardiac function of the pump twin with Digoxin has also been attempted. Large numbers are not available to compare the various techniques. This is of little significance, since the disorder is invariably fatal, and the only concern is the preservation of the pump twin. Several hands with various degrees of oligodactyly.
Few entities can resemble an acardiac twin.
A fetal demise in a twin pregnancy could also look like an acardiac, however, there should be no Doppler signal in the dead fetus. Associated syndromes None. References Pezzati M. Acardiac twins. Two case reports. Prenatal diagnosis, pathology, and genetic study of fetus in fetu.