Croatian medical journal
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Croatian medical journal · Aug 2019
Case ReportsSuccessful separation of xypho-omphalopagus conjoined twins with extrauterine twin-twin transfusion syndrome: a case report.
Conjoined twining is a rare medical phenomenon, with an overall prevalence of 1.47 per 100 000 births. This report describes a successful separation of xypho-omphalopagus conjoined twins complicated by unbalanced blood shunting through the porto-systemic anastomoses within the shared liver parenchyma. Significant extrauterine twin-twin transfusion syndrome caused by unbalanced shunting is an extremely rare, and probably under-recognized, hemodynamic complication in conjoined twins necessitating urgent separation. Progressive deterioration with a poor outcome can be prevented if the condition is recognized in a timely manner.
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Croatian medical journal · Aug 2019
Admission C-reactive protein and outcomes in acute aortic dissection: a systematic review.
To assess the prognostic role of admission C-reactive protein (CRP) in patients with acute aortic dissection (AAD). ⋯ This systematic review demonstrated a clear association between elevated admission serum CRP levels and increased in-hospital and mid-term mortality risk in AAD.