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KMID : 0356920150680030295
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Korean Journal of Anesthesiology
2015 Volume.68 No. 3 p.295 ~ p.299
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Anesthetic management for separation of thoracopagus twins with complex congenital heart disease
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Seo Mi-Sook
Chung In-Sun
Karm Myong-Hwan
Oh Ji-Mi
Shin Won-Jung
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Abstract
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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.
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KEYWORD
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Conjoined twins, Thoracopagus twins
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