Anesthetic Management During Atrial Septostomy in a Conjoined Thoraco-Omphalopagus Twin With Tricuspid Atresia and d-Transposition of the Great Arteries Before Separation: A Case Report. Issue 11 (1st June 2018)

• Record Type: Journal Article
• Authors: Richtsfeld, Martina; Konia, Mojca; Hiremath, Gurumurthy; Kloesel, Benjamin
• Is Part Of: A & A practice. Volume 10:Issue 11(2018)
• Publication Date: 2018-06-01
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000691
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Conjoined twins are uncommon with reported incidences of 1 in 30, 000–200, 000 births. They represent a heterogeneous population in regard to location of joint body parts and presence/extent of internal organ fusion. Positioning, airway management, possible presence of cross-circulation, and the fact that 2 patients require anesthesia for each procedure present significant challenges to the anesthesiologist. We report the anesthetic care of a conjoined twin set in which one of the patients presented with tricuspid atresia, d-transposition of the great arteries, and both atrial and ventricular septal defect. A balloon atrial septostomy was performed to allow survival after a separation procedure.