Anesthetic management for thoracopagus twins with complex cyanotic heart disease in the magnetic resonance imaging suite.
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.
Shank
Erik
E
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts.
Manohar
Naveen
N
Schmidt
Ulrich
U
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*