{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T12:54:28Z","timestamp":1763643268947,"version":"3.40.5"},"reference-count":4,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T00:00:00Z","timestamp":1629417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Clinically significant extrauterine twin\u2010twin transfusion syndrome in conjoined twins is rare and carries a high risk of perinatal mortality. The ensuing postnatal imbalance in circulation across connecting vessels results in hypovolemia in the donor and hypervolemia in the recipient. Data on management and treatment are sparse especially in the setting of a single ventricle congenital heart defect. We present a case of a pair of omphalopagus conjoined twins, one with a single ventricle physiology (Twin B), who developed twin\u2010twin transfusion syndrome shortly after birth. The resulting pathophysiology in the setting of a single ventricle congenital heart defect created added layers of complexity to their management and expedited surgical separation. Shunting from Twin B to Twin A\u2014with an anatomically normal heart\u2014resulted in mal\u2010perfusion and rapid deterioration jeopardizing the health of both twins. In the preoperative course, steps taken to medically optimize the twins prior to surgery and the anesthetic considerations are detailed in this report.<\/jats:p>","DOI":"10.1111\/pan.14276","type":"journal-article","created":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T08:15:54Z","timestamp":1628928954000},"page":"1255-1258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Twin\u2010twin transfusion syndrome complicated by single ventricle physiology: A case report"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5690-0409","authenticated-orcid":false,"given":"Edgar","family":"Kiss","sequence":"first","affiliation":[{"name":"Division of Pediatric Anesthesiology Children\u2019s Health System of Texas Dallas TX USA"},{"name":"Department of Anesthesiology and Pain Management UT Southwestern Medical Center Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Chehab","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anesthesiology Children\u2019s Health System of Texas Dallas TX USA"},{"name":"Department of Anesthesiology and Pain Management UT Southwestern Medical Center Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7965-7934","authenticated-orcid":false,"given":"Ingrid","family":"Moreno Duarte","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anesthesiology Children\u2019s Health System of Texas Dallas TX USA"},{"name":"Department of Anesthesiology and Pain Management UT Southwestern Medical Center Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umar","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anesthesiology Children\u2019s Health System of Texas Dallas TX USA"},{"name":"Department of Anesthesiology and Pain Management UT Southwestern Medical Center Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Schindel","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Children\u2019s Health System of Texas Dallas TX USA"},{"name":"Department of Surgery UT Southwestern Medical Center Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Pandya","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Children\u2019s Health System of Texas Dallas TX USA"},{"name":"Department of Surgery UT Southwestern Medical Center Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sana","family":"Ullah","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anesthesiology Children\u2019s Health System of Texas Dallas TX USA"},{"name":"Department of Anesthesiology and Pain Management UT Southwestern Medical Center Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney","family":"Ochoa","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology UT Southwestern Medical Center Dallas TX USA"},{"name":"Division of Pediatric Cardiology Children\u2019s Health System of Texas Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis M.","family":"Zabala","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anesthesiology Children\u2019s Health System of Texas Dallas TX USA"},{"name":"Department of Anesthesiology and Pain Management UT Southwestern Medical Center Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(90)91223-Y"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1995.06060447.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2018.07.013"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000504173"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.14276","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pan.14276","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.14276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T20:27:12Z","timestamp":1693340832000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.14276"}},"subtitle":[],"editor":[{"given":"David","family":"Polaner","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,8,20]]},"references-count":4,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1111\/pan.14276"],"URL":"https:\/\/doi.org\/10.1111\/pan.14276","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"type":"print","value":"1155-5645"},{"type":"electronic","value":"1460-9592"}],"subject":[],"published":{"date-parts":[[2021,8,20]]},"assertion":[{"value":"2020-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}