https://scholars.lib.ntu.edu.tw/handle/123456789/462559
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | Chiu C.-T. | en_US |
dc.contributor.author | Hou S.-H. | en_US |
dc.contributor.author | HONG-SHIEE LAI | en_US |
dc.contributor.author | PO-HUANG LEE | en_US |
dc.contributor.author | Lin F.-Y. | en_US |
dc.contributor.author | Chen W.-J. | en_US |
dc.contributor.author | Chen M.-T. | en_US |
dc.contributor.author | Lin T.-W. | en_US |
dc.contributor.author | Chu S.-H. | en_US |
dc.creator | Chiu C.-T.;Hou S.-H.;Hong-Shiee Lai;Lee P.-H.;Lin F.-Y.;Chen W.-J.;Chen M.-T.;Lin T.-W.;Chu S.-H. | - |
dc.date.accessioned | 2020-02-24T05:14:21Z | - |
dc.date.available | 2020-02-24T05:14:21Z | - |
dc.date.issued | 1994 | - |
dc.identifier.issn | 0021-9509 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028600618&partnerID=40&md5=c357bf1b691d41a4c45f4503b325f483 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/462559 | - |
dc.description.abstract | A pair of thoracopagus conjoined twins with a connection at the atrioventricular groove of both hearts and a huge conjoined liver were surgically separated. An aortopulmonary shunt was created for Twin B, a victim of complex congenital heart disease with hypoplastic right heart syndrome, who died 5 hours later. However, Twin A survived after prolonged endotracheal intubation and parenteral nutrition. He survived for 7 months, and went home, but finally died of sepsis. In reviewing 47 pairs of surgically separated thoracopagus conjoined twins, in 30 pairs of type A (Leachman's classification, completely separate hearts), 42 patients survived (70%); in 5 pairs of type B (atrial connection only), one patient survived (10%); in 9 pairs of type C (both atrial and ventricular interconnections), none survived; in 3 pairs of unknown type, 2 survived. Total survival rate of surgically separated thoracopagus conjoined twins was 47.9%. The survival rate was 38.2% in those operated in the neonatal period (n = 34) and 63.6% in those operated over 1 month of age (n = 44) (p = 0.016). In conclusion, thoracopagus conjoined twins are rare. Although its separation carries a high risk, especially in those with cardiac connection, this report confirmed that separation is still feasible under proper preparation and planning. | en_US |
dc.relation.ispartof | Journal of Cardiovascular Surgery | en_US |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | article; case report; congenital heart malformation; conjoined twins; endotracheal intubation; heart; human; infant; liver; male; parenteral nutrition; sepsis; shunting; survival rate; Case Report; Electrocardiography; Fatal Outcome; Heart Defects, Congenital; Human; Infant; Liver; Magnetic Resonance Imaging; Male; Methods; Tomography, X-Ray Computed; Twins, Conjoined | - |
dc.title | Separation of thoracopagus conjoined twins. A case report | en_US |
dc.type | journal article | en |
dc.identifier.pmid | 7995841 | - |
dc.identifier.scopus | 2-s2.0-0028600618 | - |
dc.relation.pages | 459-462 | en_US |
dc.relation.journalvolume | 35 | en_US |
dc.relation.journalissue | 5 | en_US |
item.cerifentitytype | Publications | - |
item.fulltext | no fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.openairetype | journal article | - |
item.grantfulltext | none | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.orcid | 0000-0002-7958-2183 | - |
crisitem.author.orcid | 0000-0001-5831-035X | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
顯示於: | 醫學系 |
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