[Hemodynamic and angiocardiographic assessment of thoracopagus twins for surgical separation purposes].
The rate of conjoined twins is 1 in 50,000 births. These patients usually have a common pericardial sac (90%) and conjoined hearts (75%). In case of shared heart there is a communication by a vascular channel between both atria and ventricles. If there is not ventricular communication, surgical separation is possible. We describe such a case in whom in spite that interventricular connections were present; surgical separation was decided because of the critical conditions of twin A in an effort to preserve the survival of twin B.
Servicio de Hemodinámica Pediátrica, Hospital General del Centro Médico La Raza, México, D.F.
J E
JE
Munayer Calderón
J L
JL
Acosta Valdez
J L
JL
Salgado Escobar
M
M
Ledesma Velazco
B
B
Encarnación Muñoz
L
L
Rodríguez Hernández
D
D
Núñez Garduño
J R
JR
Cruz Cervantes
D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D011859:Radiography; D014428:Twins, Conjoined / Q000503:physiopathology* / Q000601:surgery
Evaluación hemodinámica y angiocardiográfica de gemelos toracópagos con finalidad de separación quirúrgica.