Anesthetic management for separation of thoracopagus twins with complex congenital heart disease: a case report
نویسندگان
چکیده
Although thoracopagus twins joined at the upper chest are the most common type of conjoined twins, the separation surgery in these cases has a higher mortality rate. Here, we describe an anesthetic management approach for the separation of thoracopagus conjoined twins sharing parts of a congenitally defective heart and liver. We emphasize the importance of vigilant intraoperative hemodynamic monitoring for early detection of unexpected events. Specifically, real-time continuous monitoring of cerebral oximetry using near-infrared spectroscopy allowed us to promptly detect cardiac arrest and hemodynamic deterioration.
منابع مشابه
Cardiovascular evaluation in thoracopagus twins.
Thoracopagus is the most common form of conjoined twins. Cardiovascular evaluation is necessary to establish the existence of 2 separate hearts before planning surgical separation of the twins. This is usually done by cardiac ultrasound, cardiac catheterization, documenting 2 separate pulse rates on physical examination, and the presence of 2 independent QRS complexes on simultaneously recorded...
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Objective. Conjoined twin is a rarely seen congenital anomaly together with severe mortality and morbidity. The more common types of conjoined twins include the thoracopagus type, where the fusion is anterior, at the chest, and involves the heart. We are reporting one case of conjoined thoracopagus twins diagnosed by ultrasonography at 11 weeks. Case Report. In a multigravid pregnant woman who ...
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