Undiagnosed cardiomyopathy in a neonate: significance of low oxygen saturation during anaesthesia.
A case study is described of a 7-day-old full term baby with bilateral congenital cataracts who underwent surgical removal of both cataracts 2 days apart. Problems with oxygen saturation during and after the first anaesthetic prompted further investigation that revealed a non-obstructive hypertrophic cardiomyopathy. The significance and possible causes of low oxygen saturation in a previously healthy neonate during anaesthesia are discussed. The likely diagnosis of Sengers syndrome, and the evaluation of asymptomatic babies with cardiac pathology are discussed.
Smith
W Q
WQ
Department of Anaesthesia, Sunderland Royal Hospital and Sunderland Eye Infirmary, UK.
Abu-Harb
M
M
D000768:Anesthesia, General; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis*; D002386:Cataract / Q000151:congenital*; D002387:Cataract Extraction; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications; D010100:Oxygen / Q000097:blood*; D013577:Syndrome
D010100:Oxygen