title: Successful surgical repair of d-transposition of the great arteries in a separated conjoined twin.
abstract: Conjoined twins are very rare examples of congenital malformations. In 75% of thoracoomphalopagus conjoined twins, the intracardiac anatomy determines outcome and long-term survival.
  
  
  METHODS
  We successfully separated one case of thoraco-omphalopagus conjoined twins, with one having d-transposition of the great arteries. After control of sepsis, the twin underwent an arterial switch and complete repair of her cardiac defect.
  
  
  RESULTS
  She made a full recovery and was discharged from the hospital 20 days after surgery.
  
  
  CONCLUSIONS
  Careful planning, skillful surgical separation and cardiac surgery by a combined medical and surgical team is the key to save the twins in such a rare case.
authors.affiliation: Children's Heart Center, Children's Hospital of Fudan University, Shanghai, 201102, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
authors.forename: Bing
authors.initials: B
authors.lastname: Jia
authors.forename: Wen-Bo
authors.initials: WB
authors.lastname: Zhang
mesh_terms: D006348:Cardiac Surgical Procedures; D004200:Diseases in Twins / Q000601:surgery*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D014188:Transposition of Great Vessels / Q000209:etiology / Q000601:surgery*; D014428:Twins, Conjoined / Q000601:surgery*