M. Rizwan Afzal et al. JACEP 2017;3:

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M. Rizwan Afzal et al. JACEP 2017;3:310-312 Chest Radiograph and CT Angiogram of Twin Hearts (A) Chest radiograph of twins with the combined heart mass outlined. (B) Chest CT of the twins showing the complex relationship of the 2 hearts. Twin A (lower of the 2 hearts) had totally anomalous pulmonary venous return with subdiaphragmatic drainage, atrial septal defect, ventricular septal defect, and double outlet right ventricle, while twin B had normal cardiac anatomy. There was a communication between the 2 right atria (not shown). M. Rizwan Afzal et al. JACEP 2017;3:310-312 2017 American College of Cardiology Foundation