Anaesthetic management of thoracopagus twins with complex cyanotic heart disease for cardiac assessment: special considerations related to ventilation and cross circulation.
Anesthetic management for thoracopagus twins with complex cyanotic heart disease in the magnetic resonance imaging suite.
Although conjoined twins, especially thoracopagus type, are known to present several cardiac anomalies, a shared single four-chambered heart with triple-outlet left ventricle is a rare condition.
Cardiac catheterization in diagnosis and management of congenital heart disease in thoracopagus conjoined twins.
Congenital heart defects in conjoined twins: outcome after surgical separation of thoracopagus.
In the case of thoracopagus twins, the point of collision is the cardiac anlage, and a muscular and/or vascular connection occurs (Spencer, 1992).
Ultrasound early in pregnancy had shown female thoracopagus twins.
We strongly suggest that the lack of developmental stimulation caused by severe pulmonary dependency expected in thoracopagus conjoined twins ought to be included in any consideration of bringing such babies to term, or once born, in providing them with respiratory support.
We recommend that in thoracopagus twins with complex heart malformations, the surgery should be seriously questioned.
Conjoint twin baby delivered by CS was of thoracopagus
The most common varieties encountered were thoraco-omphalopagus (28%), thoracopagus (18.
Table 1 Designation Description Thoracopagus Joined at chest Cephalo-thoracopagus Joined at head and chest Dicephalus Single trunk and two heads Craniopagus Joined at head Omphalopagus Joined at abdomen Rachipagus Dorsal union of head and trunk Thoraco-omphalopagus Joined at chest and abdomen