Ductal Stenting to Permit Delayed Arterial Switch Operation in a Separated Conjoined Twin

Haranal, Maruti; Leong, Ming Chern; Muniandy, Siva Rao; Khalid, Khairul Faizah Mohd; Sivalingam, Sivakumar

doi:10.1016/j.athoracsur.2020.02.039

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…2,3 Despite such high rates of CHD, reports of cardiac intervention following separation are rare, with a literature search revealing only 5 such cases (Table 1). [4][5][6][7][8] The apparent lack of such interventions is likely explained by generally low survival in this population; a 2006 series of 23 individual conjoined twins with CHD reported that 22 died before or shortly after separation. 7 With only 5 similar cases in the literature, the present case of CHD repair following twin separation warrants discussion.…”

Section: Commentmentioning

confidence: 99%

Surgical Repair of Complete Common Atrioventricular Canal in a Conjoined Twin Following Separation

Fatuzzo

Greenberg

Hirsch

et al. 2022

World J Pediatr Congenit Heart Surg

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Congenital heart disease (CHD) is common in conjoined twins but reports of surgical repair in this population are rare. We present the case of a conjoined twin diagnosed prenatally with a complete common atrioventricular canal defect (CAVC). Due to wound complications from twin separation, definitive repair was deferred and pulmonary arterial banding was performed initially. At 6 months, a complete CAVC repair was performed. The present case adds to the literature on successful cardiac surgical repairs in conjoined twins.

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Section: Commentmentioning

confidence: 99%

Surgical Repair of Complete Common Atrioventricular Canal in a Conjoined Twin Following Separation

Fatuzzo

Greenberg

Hirsch

et al. 2022

World J Pediatr Congenit Heart Surg

View full text Add to dashboard Cite

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Dextro-transposition of the great arteries in one twin: case reports and literature review

Hu¹,

Deng²,

Zhu³

et al. 2022

Transl Pediatr

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Background: Dextro-transposition of the great arteries (D-TGA) is a rare congenital heart disease, as it affects only 0.02-0.05% of live births. It is the second most common cyanotic heart disease following Tetralogy of Fallot. It has a male predominance. Fetal echocardiography is an optimal method for prenatal diagnosis of fetal D-TGA. In twin pregnancies, fetal D-TGA in one twin is very rare, especially in monochorionic-diamniotic twin pregnancies. Herein, we report a case of D-TGA in one twin in two dichorionic-diamniotic twin pregnancies and one monochorionic-diamniotic twin pregnancy from January 2018 to June 2021.Case Description: One twin with D-TGA was diagnosed by fetal echocardiography in the second trimester, and the co-twin was normal in all three cases. A multidisciplinary team provided extensive counseling regarding the D-TGA twin and the co-twin, and adequate perinatal management was provided.In cases 1, 2, and 3, the mothers underwent cesarean sections at 37 weeks + 2 days, 34 weeks + 5 days, and 36 weeks + 1 day, respectively. In case 1, which involved a female D-TGA neonate with birth weight 2,410 g, an emergent atrial septostomy was performed at 20 h after birth, and the neonate underwent atrial switch operation (ASO) 24 days after birth. In case 2, involving a male D-TGA neonate with a birth weight of 2,380 g, ASO was performed 24 days after birth. In case 3, involving a female D-TGA neonate with birth weight 2,240 g, ASO was performed 19 days after birth and delayed sternal closure was performed 4 days later. All six infants showed normal development during follow-up. Conclusions:Early antenatal diagnosis of D-TGA in one fetus of a twin pregnancy is significantly important. A multidisciplinary team should carry individual evaluation and integrated management of the D-TGA twin and co-twin during the pregnancy and perinatal period. After birth, delayed ductus arteriosus closure in the D-TGA twins should be performed when necessary and individualized timings for arterial switch operation should be considered.

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Ductal Stenting to Permit Delayed Arterial Switch Operation in a Separated Conjoined Twin

Cited by 2 publications

References 4 publications

Surgical Repair of Complete Common Atrioventricular Canal in a Conjoined Twin Following Separation

Surgical Repair of Complete Common Atrioventricular Canal in a Conjoined Twin Following Separation

Dextro-transposition of the great arteries in one twin: case reports and literature review

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