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The cause is not known
Thoracopagus are twins joined at the chest.
One theory suggests that after conception the egg divides late and does not divide completely.
These twins will always face each other
About 40% of conjoined twins are in this group
Another theory suggests 2 separate embryos fused together in early development
Most of the time this type will share a heart or lungs
Depending where the babies are joined doctors will decide if separation will be possible
If you are pregnant with conjoined twins you will be closely monitored and have a team of doctors who will try to learn as much as they can about the baby's anatomy
They will also pay close attention to the less dominant twin
One can over power the other
A pair of twins who are physically joined at birth, sometimes sharing organs, and sometimes separable by surgery
There are Many types of conjoined
twins
These Twins will share the skull, parts of the brain and nervous system
Not much is known about this type. Only 2% of Conjoined twins fall into this category
Pygopagus Twins are joined at the buttocks area
http://umm.edu/programs/conjoined-twins/facts-about-the-twins
With a case like this separation would be impossible
These Twins will face back to back and may share part of the lower digestive tract
About 20% of conjoined twins are in this group