Diminished Blalock-Taussig shunt flow detected by cerebral oximetry.
Near-infrared spectroscopy is a noninvasive optical technique used to monitor brain tissue oxygenation. Measurement of cerebral oxygenation is a more sensitive monitor of oxygen delivery to the brain than other available monitors. Prolonged cerebral desaturation is correlated with poor neurological outcomes. We report a case where the cerebral oximeter alerted us to diminished blood flow in a preexisting Blalock-Taussig (subclavian artery to pulmonary artery) shunt.
Rossi
Michael
M
Division of Cardiac Anesthesia, Congenital Heart Institute of Miami Children's Hospital and Arnold Palmer Hospital for Women and Children, Miami, FL 33155, USA.
Tirotta
Christopher F
CF
Lagueruela
Richard G
RG
Madril
Danielle
D
D000015:Abnormalities, Multiple; D000758:Anesthesia / Q000379:methods; D001921:Brain / Q000098:blood supply* / Q000378:metabolism*; D006328:Cardiac Catheterization / Q000379:methods; D002560:Cerebrovascular Circulation; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000601:surgery; D004933:Esophageal Atresia / Q000150:complications; D005183:Failure to Thrive / Q000150:complications; D018662:Fundoplication / Q000379:methods; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery; D005774:Gastrostomy / Q000379:methods; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000150:complications; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D002534:Hypoxia, Brain / Q000175:diagnosis*; D007223:Infant; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods; D010092:Oximetry / Q000379:methods*; D011651:Pulmonary Artery / Q000002:abnormalities*; D018633:Pulmonary Atresia / Q000150:complications; D012086:Reoperation; D013348:Subclavian Artery / Q000002:abnormalities*; D013997:Time Factors; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000601:surgery