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PEDIATRIC ANESTHESIA

Anesthetic Management for Thoracopagus Twins with Complex Cyanotic Heart Disease in the Magnetic Resonance Imaging Suite

Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts

Address correspondence and reprint requests to Erik Shank, MD, Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114. Address e-mail to eshank{at}etherdome.mgh.harvard.edu.

We report a case of thoracopagus twins undergoing magnetic resonance imaging (MRI) studies under general anesthesia. The twins had a complex shared cardiac anatomy that posed additional challenges to an already-difficult anesthesia care area. This report emphasizes the approach to anesthetic management of conjoined twins in the MRI environment.

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