Successful surgical repair of d-transposition of the great arteries in a separated conjoined twin

Background: Conjoined twins are very rare examples of congenital malformations. In 75% of thoraco-omphalopagus conjoined twins, the intracardiac anatomy determines outcome and long-term survival. Methods: We successfully separated one case of thoraco-omphalopagus conjoined twins, with one having d-transposition of the great arteries. After control of sepsis, the twin underwent an arterial switch and complete repair of her cardiac defect. Results: She made a full recovery and was discharged from the hospital 20 days after surgery. Conclusion: Careful planning, skillful surgical separation and cardiac surgery by a combined medical and surgical team is the key to save the twins in such a rare case. World J Pediatr 2012;8(4):371-373