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. 2020 Jun;16(2):209-212.
doi: 10.5114/aic.2020.96067. Epub 2020 Jun 23.

Transcatheter balloon atrial septostomy in thoraco-omphalopagus conjoined twins

Gurumurthy Hiremath  1 , Lerraughn M Morgan  2 , Martina Richtsfeld  3 , Mojca Konia  3 , Daniel Saltzman  4 , Matthew Ambrose  1
Affiliations

Transcatheter balloon atrial septostomy in thoraco-omphalopagus conjoined twins

Gurumurthy Hiremath et al. Postepy Kardiol Interwencyjnej. 2020 Jun.
No abstract available

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
CT Angiogram sagittal view (A) and 3D printed model (B) demonstrating the restrictive inter atrial septum (IAS) and the relationship between twin A and twin B. The tiny atrial fistula (Con) had barely any flow in postnatal life and arose from the enlarged right atrial appendage (RAA): C, D – the set up in the catheterization laboratory. Twin A team wearing red hats and Twin B wearing blue hats. Twin A is to the left, Twin B to the right (B) LA – left atrium, RA – right atrium.
Figure 2
Figure 2
Hemodynamics and blood flow changes with restriction of flow across the atrial septum in Twin 2 (Index twin). Arrows indicate direction of blood flow SVC – superior vena cava, IVC – inferior vena cava, RA – right atrium, RASD – restrictive atrial septal defect, Ao – aorta, PA – pulmonary artery, LA – left atrium, LV – left ventricle.
See this image and copyright information in PMC

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