[为手术分离目的对胸部联体双胎进行血流动力学和心血管造影评估]

[Hemodynamic and angiocardiographic assessment of thoracopagus twins for surgical separation purposes].

作者信息

Munayer Calderón J E, Acosta Valdez J L, Salgado Escobar J L, Ledesma Velazco M, Encarnación Muñoz B, Rodríguez Hernández L, Núñez Garduño D, Cruz Cervantes J R

机构信息

Servicio de Hemodinámica Pediátrica, Hospital General del Centro Médico La Raza, México, D.F.

出版信息

Arch Inst Cardiol Mex. 1991 May-Jun;61(3):257-9.

PMID:1929674

Abstract

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.

摘要

联体双胎的发生率为每50000例出生中有1例。这些患者通常有共同的心包囊（90%）和联体心脏（75%）。在心脏相连的情况下，两个心房和心室之间有血管通道相通。如果没有心室相通，手术分离是可行的。我们描述了这样一个病例，尽管存在心室连接，但由于A胎儿的危急状况，为了努力保住B胎儿的生命，还是决定进行手术分离。