Boles E T, Vassy L E
Surgery. 1979 Sep;86(3):485-92.
Male thoraco-omphalopagus conjoined twins were evaluated systematically with respect to visceral joining. Cardiac studies included electrocardiography, echocardiography, and a dynamic radioactive heart scan. No union was found. Liver union was demonstrated by scanning and angiographic studies. No communication between the gastrointestinal tracts was found, and no other major anomalies were discovered. When the twins were approximately 3 months of age, surgical separation was performed. A common pericardium, two separate hearts, and a union of the liver were found. Prosthetic sheeting was used to close the pericardium and the thoracic-abdominal defects in both. In one, primary skin closure was possible. In the other silicone rubber sheeting was used to close a large skin defect in the chest. Both have done well over a follow-up period of 14 months. One is larger than the other, but the growth rate of both has improved in the last 6 months.
对男性胸腹联体双胞胎进行了关于内脏连接的系统评估。心脏检查包括心电图、超声心动图和动态放射性心脏扫描。未发现心脏连接。肝脏连接通过扫描和血管造影研究得以证实。未发现胃肠道之间存在连通，也未发现其他主要异常。当双胞胎大约3个月大时，进行了手术分离。发现有一个共同的心包、两个独立的心脏以及肝脏相连。使用人工膜片来封闭两者的心包和胸腹缺损。其中一个，能够进行一期皮肤缝合。另一个则使用硅橡胶膜片来封闭胸部的一个大的皮肤缺损。在14个月的随访期内，两人情况都良好。其中一个比另一个大，但在过去6个月里两人的生长速度都有所提高。
