分离右心房相连的胸腹联体双胞胎。

Separation of conjoined thoracopagous twins joined at the right atrial.

作者信息

Synhorst D, Matlak M, Roan Y, Johnson D, Byrne J, McGough E

出版信息

Am J Cardiol. 1979 Mar;43(3):662-5. doi: 10.1016/0002-9149(79)90029-8.

PMID:420116

Abstract

A case of conjoined thoracopagous twins with a shared atrial myocardium who were successfully surgically separated is described. Twin B had hypoplastic right heart syndrome and was dependent on Twin A for oxygenation of her blood. The twins were surgically separated by dilating Twin B's ductus arteriosus with an infusion of prostaglandin E1 and creating an aortopulmonary shunt to increase her pulmonary blood flow; both twins survived the operation. However, 1 week after surgery Twin B had hepatic and renal failure and died.

摘要

本文描述了一例胸腹联体双胞胎成功实施手术分离的病例，这对双胞胎共享心房心肌。双胞胎B患有右心发育不全综合征，其血液氧合依赖于双胞胎A。通过注入前列腺素E1扩张双胞胎B的动脉导管，并建立体肺分流以增加其肺血流量，对这对双胞胎实施了手术分离；两名双胞胎均成功度过手术期。然而，术后1周，双胞胎B出现肝肾功能衰竭并死亡。