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[HEALTH] · Brazil · 4 sources

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Brazilian craniopagus twins die after final separation surgery

Craniopagus twins Heloísa and Helena, aged two years and seven months, have died following their final separation surgery at Hospital das Clínicas in Ribeirão Preto, Brazil. The twins, who were joined at the head since birth, had undergone four previous procedures as part of a complex, year-long medical plan to separate them.

The final operation, which began on August 15, 2026, lasted approximately 15 hours and involved more than 50 medical specialists. While the team successfully completed the physical separation, the girls suffered severe circulatory complications. Surgeon Jayme Farina reported that after 10 hours of surgery, the twins experienced critical blood pressure fluctuations, including hypertension in one child and profound hypotension in the other.

The twins had faced additional health challenges prior to the final surgery, including frequent pneumonia, a tracheostomy, and a gastrostomy for nutrition. Following the deaths, the twins' father, Amarildo Batista da Silva, released a video expressing gratitude to the medical team, stating that he does not view the loss as a defeat for the doctors.

Entities

Amarildo Batista da Silva · Heloísa and Helena · Hospital das Clínicas · Jayme Farina · Ribeirão Preto

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