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RIO DE JANEIRO — A Brazilian toddler was awake and breathing on his own Saturday after doctors removed four life-threatening sewing needles from around one of his lungs and his heart, but he was likely to face more surgery in the coming days, a hospital director said.

The 2-year-old boy — who police say had dozens of the needles stuck deep into his body by his stepfather in a bizarre ritual — remains in intensive care after his surgery Friday, and the next two days are critical to his recovery, Roque Aras, medical director of the Ana Nery Hospital, told reporters in the northeastern city of Salvador.

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