Gürsu, Alper Hazım Başkent Üniversitesi - Tıp Fakültesi - Pediatrik Kardiyoloji Anabilim Dalı, Turkey , Varan, Birgül Başkent Üniversitesi - Tıp Fakültesi - Pediatrik Kardiyoloji Anabilim Dalı, Turkey , Erdoğan, İlkay Başkent Üniversitesi - Tıp Fakültesi - Pediatrik Kardiyoloji Anabilim Dalı, Turkey , Oktay, Ayla Başkent Üniversitesi - Tıp Fakültesi - Pediatrik Kardiyoloji Anabilim Dalı, Turkey

Echocardiographic examination of a parapagus conjoined twins

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Parapagus twins are reported very rarely in the literature. The incidence is estimated one in 200 000 live birth. The incidence in our country isn’t known. Because of the mother who was 36 years old, in the 8. pregnancy, the 8. and 9. live birth babie, who have dispnea after birth, were sent to in our hospital. Twins that their bodies are joined anterolaterally, have two complete heads, 3 hands and 3 feet, one anus and suspected genitelia. Heart beat of left sided twin was 137/minute and the saturation was 85% and right sided twin’s was 135/minute and 86%. Cranial ultrasonographic examination and magnetic resonance imaging were normal. Abdominal ultrasonography and magnetic resonance imaging showed one liver, one spleen, 3 kidney and one bladder. On echocardiographic examination, there were 2 ventricles, 2 atriums in right sided twin and one ventricle, one atrium in left sided. Complete atrioventricular septal defect, pulmonary stenosis and transposition of the great arteries were seen in right sided twin. We didn’t saw second ventricle in left sided twin. Posterior wall of right baby’s left ventricle and left baby’s single ventricle’s wall were fused. There was fusion on atrial and ventricular levels. We want to share the conclusions of echocardiographic examination of parapagus twins who were rarely seen and had different complex congenital heart disease.

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Congenital heart disease , echocardiography , cardiac surgery

Cumhuriyet Medical Journal

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