Anesthetic management for separation of thoracopagus twins with complex congenital heart disease: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 295-299, 2015.
Article
in En
| WPRIM
| ID: wpr-158789
Responsible library:
WPRO
ABSTRACT
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.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Thorax
/
Twins, Conjoined
/
Oximetry
/
Mortality
/
Spectroscopy, Near-Infrared
/
Heart
/
Heart Arrest
/
Heart Defects, Congenital
/
Hemodynamics
/
Liver
Type of study:
Prognostic_studies
/
Screening_studies
Limits:
Humans
Language:
En
Journal:
Korean Journal of Anesthesiology
Year:
2015
Document type:
Article