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19 October 2024 : Case report  Lebanon

Anesthetic Strategies and Challenges in the Separation of Pygopagus Conjoined Twins: A Case Report

Congenital defects / diseases

Roland N. Kaddoum1AEF, Sahar M. Siddik1AEF, Gloria M. Al Karaki1AEF, Samar J. Mkhayel1AEF, Marie T. Aouad1AEF*

DOI: 10.12659/AJCR.944776

Am J Case Rep 2024; 25:e944776

Table 1. Baseline comorbidities.

Twin ATwin B
Hypertension on amlodipineHypertension on amlodipine
Patent foramen ovale/atrial septal defect with left to right shunt, mild left ventricular hypertrophy with good systolic functionLarge patent foramen ovale/atrial septal defect with left to right shunt
Single kidney
Large 9.7×6.1 cm occipital encephalocele, communicating with a large posterior fossa cyst and occipital bone defectSignificant cerebral and cerebellar atrophy, enlargement of the ventricles
Seizures on phenobarbital and levetiracetam

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923