title: Anesthetic management for thoracopagus twins with complex cyanotic heart disease in the magnetic resonance imaging suite.
abstract: 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.
authors.affiliation: Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Erik
authors.initials: E
authors.lastname: Shank
authors.forename: Naveen
authors.initials: N
authors.lastname: Manohar
authors.forename: Ulrich
authors.initials: U
authors.lastname: Schmidt
mesh_terms: D000758:Anesthesia; D001794:Blood Pressure / Q000187:drug effects; D002758:Cholangiography; D017023:Coronary Angiography; D003490:Cyanosis / Q000150:complications* / Q000473:pathology; D004562:Electrocardiography; D005260:Female; D006331:Heart Diseases / Q000150:complications* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D017214:Laryngeal Masks; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008991:Monitoring, Physiologic; D009206:Myocardium / Q000473:pathology; D010101:Oxygen Consumption / Q000187:drug effects; D014428:Twins, Conjoined / Q000473:pathology / Q000503:physiopathology*