|Title:||Assessment of Electromyocardial Continuity in Conjoined (Thoracopagus) Twins||Authors:||WU, MEI-HWAN
|Keywords:||連體嬰;心臟;CONJOINED TWINS;HEART||Issue Date:||1992||Journal Volume:||v.69||Journal Issue:||n.8||Start page/Pages:||830-832||Source:||AMERICAN JOURNAL OF CARDIOLOGY||Abstract:||
Conjoined twins occur in approximately 1 in 50,000 births, and most of them have major junctions at the levels of chest and upper abdomen ( thoracopagus).1 It is difficult to separate twins with conjoined hearts. Only a single instance of successful separation in one of a set of twins with conjoined atria has been reported.2 Therefore, preoperative documentation of the existence of conjoined hearts is crucial. We report herein a set of conjoined twins, in whom evaluation by echocardiography and angiography failed to define the conjoined hearts because the chambers and circulation were separate. Electrophysiologic studies demonstrated an atrial electromyocardial continuity resulting in synchronized heart beats of the twins.
|Appears in Collections:||醫學系|
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