19 October 2024
: Case report
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 A | Twin B |
|---|---|
| Hypertension on amlodipine | Hypertension on amlodipine |
| Patent foramen ovale/atrial septal defect with left to right shunt, mild left ventricular hypertrophy with good systolic function | Large 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 |






