Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-24T02:21:14.063Z Has data issue: false hasContentIssue false
  • English
  • Français

Surgical ligation of a persistent arterial duct in one of conjoined thoracopagus twins prior to surgical separation

Published online by Cambridge University Press:  19 August 2008

Roque A. Cordoba ,
Ernesto Juaneda  and
Luis E. Alday
Roque A. Cordoba
Affiliation:
Division of Cardiovascular Surgery and Section of Paediatric Cardiology, Hospital Privado, Cordoba, Argentina
Ernesto Juaneda
Affiliation:
Division of Cardiovascular Surgery and Section of Paediatric Cardiology, Hospital Privado, Cordoba, Argentina
Luis E. Alday*
Affiliation:
Division of Cardiovascular Surgery and Section of Paediatric Cardiology, Hospital Privado, Cordoba, Argentina
*
Dr. L. E. Alday, Section of Paediatric Cardiology, Hospital Privado, Naciones Unidas 346, 5016 Cordoba, Argentina. Telephone number: (54-51) 688 220. Fax number: (54-51) 688 220. E-mail address: imagenhp@nt.com.ar
Get access Rights & Permissions [Opens in a new window]

Abstract

One of conjoined thoracopagus twins, with separate hearts and a common pericardial sack, presented with respiratory distress because of a persistent arterial duct causing congestive heart failure in the neonatal period. Surgical ligation of the duct was performed prior to subsequent separation, with an excellent outcome.

Keywords

Conjoined twinspersistent arterial ductductal ligation
Type
Brief Reports
Information
Cardiology in the Young , Volume 9 , Issue 2 , March 1999 , pp. 203 - 206
Copyright
Copyright © Cambridge University Press 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Edmunds, LD, Layde, PM. Conjoined twins in the United States, 1970–1977. Teratology 1982; 25: 301–308.CrossRefGoogle Scholar
2.Votteler, TE. Conjoined twins. In Welch, KJ, Randolph, JG, Ravitch, MM et al. Pediatric Surgery. Chicago: Year Book Med Publishers 1986; 829–836.Google Scholar
3.Izukawa, T, Kidd, BSL, Moescaf, Tyrrellmj, Ive, EJ, Simpson, JS, Shandling, B. Assessment of the cardiovascular system in conjoined thoracopagus twins. Am J Dis Child 1978; 132: 19–24.Google ScholarPubMed
4.Synhorst, D, Matlak, M, Roan, Y, Johnson, D, Byrne, J, McGough, E. Separation of conjoined thoracopagus twins joined at the right atria. Am J Cardiol 1979; 43: 662–665.CrossRefGoogle Scholar
5.Mathewson, JW, Waldman, JD, George, L, Kirkpatrick, SE, Turner, SW, Pappelbaum, SJ. Shared coronary arteries and coronary venous drainage in thoracopagus twins. J Am Coll Cardiol 1984; 3: 1019–1025.CrossRefGoogle ScholarPubMed
6.Leachman, RD, Latson, JR, Kohler, CM, McNamara, DG. Cardiovascular evaluation of conjoined twins. Birth Defects 1967; 3: 52–65.Google Scholar
7.Sanders, SP, Chin, AJ, Parness, IA, Benacerraf, B, Greene, MF, Epstein, MF, Colan, SD, Frigoletto, FD. Prenatal diagnosis of congenital heart defects in thoracoabdominally conjoined twins. N Eng J Med 1985; 313: 370–374.CrossRefGoogle ScholarPubMed
8.Cazeneuve, C, Nihoul–Fekete, C, Adafer, M, Yassine, B, Boury, R, Wahhabi, M, Lajarrige, C, Dumez, Y, Aubry, MC, Moriette, G. Jumelles conjointes omphalopages separees a 15 jours de vie. Arch Pediatr 1995; 2: 452–455.CrossRefGoogle Scholar
9.Wu, MH, Lai, YC, Lo, HM, Hsu, YH, Lue, HC. Assessment of electromyocardial continuity in conjoined (thoracopagus) twins. Am J Cardiol 1992; 69: 830–832.CrossRefGoogle ScholarPubMed
10.ONeill, JA Jr, Holcomb, GW II, Schnaufer, L, Tempeton, JM Jr, Bishop, HC, Ross, AJ Jr, Duckett, JW, Norwood, WI, Ziegler, MM, Koop, CE. Surgical experience with thirteen conjoined twins. Ann Surg 1988; 208: 299–312.CrossRefGoogle ScholarPubMed