Brief Report: Separation of Conjoined Twins With the Twin Reversed-Arterial-Perfusion Sequence After Prenatal Planning With Three-Dimensional Modeling
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- Twin
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Overview: Surgical separation of conjoined twins is commonly undertaken after birth, but surgery is usually delayed for weeks or months. With time, the infants become larger, the anatomical relations between them can be better delineated, other congenital anomalies may be identified, the risk associated with anesthesia usually decreases, and the separation procedure can be carefully planned. In contrast, a twin reversed-arterial-perfusion sequence may be treated by sacrificing the acardiac twin in utero. This paper here is a unique case of conjoined twins with reversed-arterial-perfusion sequence. Because the twins were joined, antenatal surgical intervention to treat the twin reversed-arterial-perfusion sequence was not possible, so immediate surgical separation at birth was necessary.
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