Abstract

We previously reported unusual electrocardiograms (ECGs) recorded from conjoined thoracopagus twins with a cardiac connection at the atrial level, and Wolff-Parkinson-White (WPW) syndrome in Twin B.1 Tachycardia began in utero and was managed adequately with transplacental digoxin until elective C-section was performed at 36 weeks’ gestation. Postnatal evaluation demonstrated cardiac fusion of the lateral atrial walls and structural heart defects in both sisters (Twin A: tetralogy of Fallot; Twin B: dextrocardia, double-outlet right ventricle with a straddling tricuspid valve and multiple ventricular septal defects).

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