Acardiac twinning is one of the rare but important complication of monochorionic twin pregnancies leading to increased perinatal mortality of both twins. Since one of the twins did not have well developed cardiac structure it depended on the co-twin for blood supply. This increases mortality of co twin. We reported a case of acardiac twin diagnosed at proper time managed with interstitial laser occlusion of cord at appropriate time with successful outcome of normal co-twin. This case

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... the importance of early diagnosis, proper timing and selection of vascular occlusion procedure to occlude blood flow to acardiac twin and close surveillance and delivery of donor twin, to improve perinatal outcome.