Perioperative considerations in a hypothyroid infant with hepatic haemangioma.
Hepatic haemangiomas in infants are rare. An infant with both a hepatic haemangioma and a severe hypothyroid condition, unresponsive to conventional thyroxine therapy, will be described. This case presented here is the perioperative management of a critically ill infant who had myocardial depression secondary to hypothyroidism and a hepatic haemangioma that required embolization. To our knowledge, this is the first published report describing intravenous triiodothyronine as a therapeutic modality to stabilize a hypothyroid infant prior to undergoing a general anaesthetic.
Harvard Medical School, Children's Hospital, Department of Anaesthesia, 300 Longwood Avenue, Boston, MA 02115, USA.
K P
KP
Mason
B V
BV
Koka
E A
EA
Eldredge
S J
SJ
Fishman
P E
PE
Burrows
D000768:Anesthesia, General; D003409:Congenital Hypothyroidism; D019299:Decompression, Surgical; D004621:Embolization, Therapeutic; D006391:Hemangioma / Q000150:complications / Q000151:congenital / Q000601:surgery*; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000188:drug therapy; D007223:Infant; D007262:Infusions, Intravenous; D007813:Laparotomy; D008113:Liver Neoplasms / Q000150:complications / Q000151:congenital / Q000601:surgery*; D008297:Male; D011300:Preoperative Care; D014284:Triiodothyronine / Q000008:administration & dosage
D014284:Triiodothyronine