Cor pulmonale and the Pierre Robin anomaly. Airway management with a nasopharyngeal tube.
An infant with Pierre Robin anomaly was anaesthetised for cardiac catheterisation. There was cor pulmonale with the pulmonary artery pressure at systemic level, a patent foramen ovale and a persistent ductus arteriosus. The effects of alterations in blood gases on the haemodynamics and intracardiac shunts are considered. Subsequent management of the obstructed airway with a nasopharyngeal tube for 4 weeks is described.
D000402:Airway Obstruction / Q000150:complications* / Q000209:etiology / Q000628:therapy; D006328:Cardiac Catheterization; D006801:Humans; D007231:Infant, Newborn; D007440:Intubation / Q000379:methods*; D008297:Male; D009666:Nose; D010614:Pharynx; D010855:Pierre Robin Syndrome / Q000150:complications*; D011660:Pulmonary Heart Disease / Q000209:etiology*