Surgical ligation of a persistent arterial duct in one of conjoined thoracopagus twins prior to surgical separation.
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.
D006348:Cardiac Surgical Procedures / Q000379:methods*; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008026:Ligation / Q000379:methods; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology; D013909:Thorax / Q000002:abnormalities*; D016896:Treatment Outcome; D014339:Truncus Arteriosus, Persistent / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014428:Twins, Conjoined / Q000473:pathology / Q000601:surgery*; D016216:Ultrasonography, Prenatal / Q000379:methods