Skip to main content
Log in

Cardiac and other malformations in parapagus twins

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Introduction

Conjoined twins occur in one in 50–200,000 live births and approximately 75% of all cases are thoracopagus twins. Parapagus conjoined twins are rare and are not included in many review articles.

Case report

The cardiovascular system of a male parapagus (dicephalus, tetrabrachius, dipus) conjoined twins was studied. Twin B had bilateral bilobed lungs and a normal heart, while bilateral trilobed lungs and right isomerism was found in twin A. They shared a diaphragm and an abdominal cavity. There were two complete heads on two necks, two thoraxes, one abdomen, four arms, two legs, two complete vertebral columns, a single pelvis, and severe cardiac anomalies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2. a
Fig. 3. a
Fig. 4. a

Similar content being viewed by others

References

  1. Cunniff C, Jones KL, Jones MC, Saunders B, Shepard T, Benirschke K (1988) Laterality defects in conjoined twins: implication for normal asymmetry in human embryogenesis. Am J Med Genet 31:669–677

    CAS  PubMed  Google Scholar 

  2. Hammond DI, Okun NB, Carpenter BF et al (1991) Prenatal ultrasonographic diagnosis of dicephalus conjoined twins. Can Assoc Radiol J 42:357–359

    CAS  PubMed  Google Scholar 

  3. Marin-Padilla M, Chin AJ, Marin-Padilla TM (1981) Cardiovascular abnormalities in thoracopagus twins. Teratology 23:101–113

    Google Scholar 

  4. O'Neill JA, Hollcomb GW III, Schnauffer L, Templeton JM Jr, Bishop HC, Ross III AJ, Duckett JW, Koop CE (1988) Surgical experience with thirteen conjoined twins. Ann Surg 208:299–312

    PubMed  Google Scholar 

  5. Seo JW, Shin SS, Chi JG (1985) Cardiovascular system in conjoined twins: an analysis of 14 Korean cases. Teratology 32:151–161

    CAS  PubMed  Google Scholar 

  6. Spencer R (1992) Conjoined twins: theoretical embryologic basis. Teratology 45:591–602

    CAS  PubMed  Google Scholar 

  7. Zimmerman AA (1967) Embryology and anatomical consideration of consideration of conjoined twins. In: Bergsma D (ed) Conjoined twins. Birth Defects Original Series. National Foundation, March of Dimes, pp 18–27

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Türkan Tansel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tansel, T., Yazıcıoğlu, F. Cardiac and other malformations in parapagus twins. Arch Gynecol Obstet 269, 211–213 (2004). https://doi.org/10.1007/s00404-002-0406-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-002-0406-4

Keywords

Navigation