• World J Pediatr · Nov 2012

    Case Reports

    Successful surgical repair of d-transposition of the great arteries in a separated conjoined twin.

    • Gang Chen, Bing Jia, and Wen-Bo Zhang.
    • Children's Heart Center, Children's Hospital of Fudan University, Shanghai, 201102, China.
    • World J Pediatr. 2012 Nov 1; 8 (4): 371-3.

    UnlabelledConjoined twins are very rare examples of congenital malformations. In 75% of thoracoomphalopagus conjoined twins, the intracardiac anatomy determines outcome and long-term survival.MethodsWe 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.ResultsShe made a full recovery and was discharged from the hospital 20 days after surgery.ConclusionCareful 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.

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