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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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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.