Anesth Analg 2005;100:361-364
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000140952.35504.4D
PEDIATRIC ANESTHESIA
Anesthetic Management for Thoracopagus Twins with Complex Cyanotic Heart Disease in the Magnetic Resonance Imaging Suite
Erik Shank, MD,
Naveen Manohar, MD, and
Ulrich Schmidt, MD
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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