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A pair of thoracopagus conjoined twins with a connection at the atrioventricular groove of both hearts and a huge conjoined liver were surgically separated. An aortopulmonary shunt was created for Twin B, a victim of complex congenital heart disease with hypoplastic right heart syndrome, who died 5 hours later. However, Twin A survived after prolonged endotracheal intubation and parenteral nutrition. He survived for 7 months, and went home, but finally died of sepsis. In reviewing 47 pairs of surgically separated thoracopagus conjoined twins, in 30 pairs of type A (Leachman's classification, completely separate hearts), 42 patients survived (70%); in 5 pairs of type B (atrial connection only), one patient survived (10%); in 9 pairs of type C (both atrial and ventricular interconnections), none survived; in 3 pairs of unknown type, 2 survived. Total survival rate of surgically separated thoracopagus conjoined twins was 47.9%. The survival rate was 38.2% in those operated in the neonatal period (n = 34) and 63.6% in those operated over 1 month of age (n = 44) (p = 0.016). In conclusion, thoracopagus conjoined twins are rare. Although its separation carries a high risk, especially in those with cardiac connection, this report confirmed that separation is still feasible under proper preparation and planning.
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
January 2011,
ISRN obstetrics and gynecology,
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
January 2000,
Zhonghua wai ke za zhi [Chinese journal of surgery],
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
December 2002,
Saudi medical journal,
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
October 1974,
Indian journal of pediatrics,
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
February 1968,
The Australian & New Zealand journal of obstetrics & gynaecology,
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
January 1969,
Canadian journal of surgery. Journal canadien de chirurgie,
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
October 1972,
Teratology,
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
October 1960,
Annals of surgery,
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
September 1977,
Circulation,
C T Chiu, and
S H Hou, and
H S Lai, and
P H Lee, and
F Y Lin, and
W J Chen, and
M T Chen, and
T W Lin, and
S H Chu
September 2008,
Circulation,
