| Anesthetic management of conjoined twins presenting for palliative open-heart surgery. | |
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MedLine Citation:
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PMID: 15976204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A set of dicephalous parapagus twins was born at 36 wk gestational age. Twin A had complex congenital heart disease in the form of a single ventricle that would be fatal without surgical intervention. Twin B had normal intracardiac anatomy. The twins were deemed surgically inseparable and the parents requested palliative open-heart surgery on Twin A. The twins shared a common circulatory system to the lower half of the body so that physiological manipulations in one twin adversely affected the other's hemodynamic condition. Twin A underwent successful single ventricle palliation; however, after a prolonged hospitalization, the infants died secondary to severe respiratory disease in Twin B. |
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Authors:
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Christopher F Tirotta; Richard Lagueruela; Hamish M Munro; Evan M Zahn; Leo Lopez; Redmond P Burke |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 101 ISSN: 0003-2999 ISO Abbreviation: Anesth. Analg. Publication Date: 2005 Jul |
Date Detail:
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Created Date: 2005-06-24 Completed Date: 2005-07-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 44-7, table of contents Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiovascular Anesthesia, Congenital Heart Institute of Miami Children's Hospital and Arnold Palmer Hospital for Children & Women, Florida 33155, USA. christopher.tirotta@mch.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia* Cardiac Surgical Procedures* Cardiopulmonary Bypass Ductus Arteriosus, Patent / physiopathology Fatal Outcome Female Hand Deformities, Congenital / surgery Heart Ventricles / abnormalities, surgery Humans Infant Palliative Care* Twins, Conjoined / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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