This Article Full Text (OnlineFirst PDF) All Versions of this Article: 0885066608321247v1 23/5/335    most recent Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Tobias, J. D. Search for Related Content PubMed PubMed Citation Articles by Tobias, J. D. Social Bookmarking                         What's this?

Cerebral Oximetry Using Near-Infrared Spectroscopy Aids in the Diagnosis of Interrupted Aortic Arch

Vice-Chairman, Dept of Anesthesiology, Chief, Division of Pediatric Anesthesiology

^* To whom correspondence should be addressed. E-mail: tobiasj{at}health.missouri.edu.

	Abstract

A 3.4-kg, 6-day-old infant presented to the pediatric intensive care unit with a 2-day history of poor feeding and tachypnea. Care at an outside hospital included endotracheal intubation, the administration of isotonic fluid (20 mL/kg), and antibiotics (ampicillin and gentamicin) for presumed sepsis. After arrival at our institution, physical examination revealed absent femoral pulses and hepatomegaly. Cerebral oximetry revealed a right-sided reading of 51% and a left-sided reading of 15%. Given the diminished femoral pulses and the disparity in the cerebral oximetry values, a tentative diagnosis of congenital heart disease with an obstructive left-sided lesion was entertained, and a prostanglandin E₁ infusion was started at 0.05 µg/kg/min. The diagnosis of a type C interrupted aortic arch and a ventricular septal defect was confirmed by echocardiography. After stabilization and correction of metabolic abnormalities, the infant was taken to the operating room for repair of the interrupted aortic arch and placement of a pulmonary artery band.

First published on August 12, 2008, doi:10.1177/0885066608321247

Journal of Intensive Care Medicine 2008;23:335.

A more recent version of this article appeared on September 1, 2008


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				R. Kazan, D. Bracco, and T. M. Hemmerling Reduced cerebral oxygen saturation measured by absolute cerebral oximetry during thoracic surgery correlates with postoperative complications Br. J. Anaesth., December 1, 2009; 103(6): 811 - 816. [Abstract] [Full Text] [PDF]