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She’s The Lone Twin

Blog She’s The Lone Twin

Twin Reversed Arterial Perfusion occurs in twin pregnancies that share a common placenta. It occurs in about one in 35,000 identical twin pregnancies.


She weighed just four pounds when she was born six weeks early. And she was born without her twin.

Sana Georges, 2, is what her mother, Elbamarie Quinones calls a “miracle baby.”  Quinones was in the fifth month of her pregnancy, living in South Carolina when doctors discovered something wrong with Georges’ twin. The diagnosis: Twin Reversed Arterial Perfusion (TRAP). The extremely rare condition occurs in twin pregnancies that share a common placenta.

According to the National Institute for Health, the incidence occurs in about one in 35,000 identical twin pregnancies. Typically, one twin develops normally and the other twin has a serious condition that prevents it from surviving on its own.

In Quinones’ case, her little Sana was pumping blood into her twin, causing her heart to work overtime. Eventually, doctors determined both fetuses would not survive and Sana was the viable one of the two, said Quinones, who underwent surgery to secure the full-term development of her little girl.

As she runs through the halls of Riley Hospital for Children at IU Health passersby see Sana as a typical healthy toddler. But Sana, who moved to Indiana two years ago, with her mother and her father, Sabah Georges, makes regular visits to Riley. She receives ongoing monitoring for pulmonary stenosis (obstruction to blood flow from the right ventricle to the pulmonary artery). Doctors are also keeping a close watch on three hemangiomas (benign tumors developed during infancy) on her head and stomach.

Her dark shoulder-length hair hides the tumor on her head. As her mom takes pictures, Sana strikes a pose and flashes her dark brown eyes. The photos are among hundreds on her mom’s iPhone.

“She is really like every other little girl. She loves to play in the park, sing and visit the animals at the zoo,” said Quinones. “But I know how she got here. I will always remember. She’s a miracle baby.”

-- T.J. Banes

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