An attempt to separate xiphopagus twins sharing a common heart, liver, and duodenum

Micheli, Jordy; Sadeghi, H; Freeman, Judy; Bozic, Carmen; Queloz, J; Genton, N

doi:10.1016/s0022-3468(78)80007-4

Cited by 8 publications

(1 citation statement)

References 4 publications

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“…Including our patients, we found data of 158 thoracopagus and thoraco-omphalopagus sets in 7 case series,[ 1 2 3 4 5 6 7 ] 2 review articles,[ 8 9 ] and 36 case reports. [ 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 ] The age at surgery was mentioned for 63 sets ranging from 11 h–144 months, with a median age of 2.75 months (IQR = 5.5). Sex was documented in 77 sets with 23 males and 54 females (M: F = 1:2.3).…”

Section: R Esultsmentioning

confidence: 99%

Conjoined Thoracopagus Twins: A Systematic Review of the Anomalies and Outcome of Surgical Separation

Saxena

Sinha

Pathak

et al. 2023

African Journal of Paediatric Surgery

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Introduction: Conjoined twin is an extremely rare condition and requires a thorough knowledge of anatomy, and a multidisciplinary approach is essential to successfully separate the twins. Thoracopagus twins lie face to face and are attached from chest to upper abdomen. They are the most common among all the varieties but have a poor survival rate. Materials and Methods: This study is a review of literature from 2019 to the oldest via PubMed and Google Scholar using keywords: Conjoined twins, Thoracopagus twins, Thoracoomphalopagus and Thoraco-omphalopagus twins. The articles were reviewed for the description of the anatomy of shared organs, management and outcome of these twins. Results: One hundred and fifty-eight sets of thoracopagus and thoraco-omphalopagus twins including our twins were included in this study. Out of 158 reported thoracopagus twin sets in literature, with M: F ratio of 1:2.3, 71 sets were found to be non-operable and all of them subsequently expired; 82 sets were operated upon, out of which 83 babies survived, suggesting an overall surgical success rate of about 50%. Conclusion: Thoracopagus twins have a dismal prognosis. The most important decisive parameter for successful separation is the extent of sharing of organs between twins. The role of a motivated multidisciplinary team is also indispensable and cannot be overemphasised.

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Section: R Esultsmentioning

confidence: 99%

Conjoined Thoracopagus Twins: A Systematic Review of the Anomalies and Outcome of Surgical Separation

Saxena

Sinha

Pathak

et al. 2023

African Journal of Paediatric Surgery

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Anatomical study of five prenataly diagnosed sternopagus twins

Plattner¹,

Héloury

et al. 1993

Surg Radiol Anat

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Among conjoined twins (1 out 50000 births), thoracopagus occurs most frequently and is generally lethal. Our anatomical study of five sets of sternopagus twins (3 female, 2 male) was performed to determine the ability of prenatal sonography to detect these anomalies. Autopsy in four cases revealed identical malformations: common sternum, single malformed heart, joined hepatic parenchyma, and a common small bowel leading to a cystic dilatation situated on the ileal segment at the end of the superior mesenteric artery. The diagnosis of conjoined twins was made in all cases by prenatal sonography at the mean time of 24.6 gestation weeks (range 19-34). The malformations detected by prenatal sonography were a single cardiac mass (all cases), joined hepatic parenchymas (3 cases), and an ileal cystic dilatation (1 case). Pregnancy was terminated in four cases. In one case cesarean delivery was performed, and the infants died 48 hours later. Prenatal sonography currently seems to be the best examination for diagnosis of sternopagus twins and the detection of lethal malformations thus allowing interruption of pregnancy.

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Congenital Heart Defects in Conjoined Twins: Outcome After Surgical Separation of Thoracopagus

McMahon

Spencer

2006

Pediatr Cardiol

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In this study, we correlated cardiac malformations in the various types of conjoined twins with the proposed site of embryologic union and evaluated the possibility of survival after surgical separation. We conclude that surgical separation is only very rarely successful in twins with united hearts, whereas survival in twins with separate hearts is more dependent on the malformations of other viscera. This report deals primarily with conjoined twins in whom anomalies of the heart are the major factor in deciding whether surgical separation is feasible.

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An attempt to separate xiphopagus twins sharing a common heart, liver, and duodenum

Cited by 8 publications

References 4 publications

Conjoined Thoracopagus Twins: A Systematic Review of the Anomalies and Outcome of Surgical Separation

Conjoined Thoracopagus Twins: A Systematic Review of the Anomalies and Outcome of Surgical Separation

Anatomical study of five prenataly diagnosed sternopagus twins

Congenital Heart Defects in Conjoined Twins: Outcome After Surgical Separation of Thoracopagus

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