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Anesthetic management of parasitic conjoined twins' separation surgery.

Authors
  • Bansal, Rakhi1
  • Paliwal, Naveen1
  • Karnawat, Rakesh1
  • Kothari, Akanksha1
  • 1 Department of Anesthesia, Dr. S.N. Medical College, Jodhpur, Rajasthan, India. , (India)
Type
Published Article
Journal
Saudi Journal of Anaesthesia
Publisher
Medknow Publications
Publication Date
Jan 01, 2018
Volume
12
Issue
3
Pages
485–487
Identifiers
DOI: 10.4103/sja.SJA_23_18
PMID: 30100855
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Parasitic twin is a rare form of conjoined twins with an incidence ranging from 1 in 50,000 to 1,00,000 live births. In thoracopagus type, both hearts are joined together and often are associated with underlying congenital cardiac malformations. The separation surgery is a challenging task for both the surgeon as well as anesthetist due to the complexity of the procedure and long duration of surgery, carrying mortality close to 100% in case of significant cardiac fusion. Here, we are sharing anesthetic management of successful separation of a rare type of parasitic male conjoined twins who had connected hearts and common liver.

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