Laparoscopic surgery in a paediatric patient with Down’s syndrome and patent foramen ovale

The safety of laparoscopic surgery in infants with congenital heart disease has been a subject of controversy despite potential benefits over open surgery. The authors present the anaesthetic management of a 6-month-old female infant with Down’s syndrome with a small patent foramen ovale with left t...

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Bibliographic Details
Published in:BMJ case reports 2011-06, Vol.2011 (jun09 1), p.bcr0920103334-bcr0920103334
Main Authors: Singh, Sarita, Verma, Reetu, Pandey, Anand, Tandon, Chetna, Wakhlu, Ashish, Agarwal, Aman
Format: Article
Language:English
Subjects:
12 Months
Asia
Colon - surgery
Digestive System Surgical Procedures - methods
Down Syndrome - complications
Female
Foramen Ovale, Patent - complications
Humans
Indian Subcontinent
Infant
Intubation
Laparoscopy
Patients
Reminder of Important Clinical Lesson
Ventilation
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Summary:The safety of laparoscopic surgery in infants with congenital heart disease has been a subject of controversy despite potential benefits over open surgery. The authors present the anaesthetic management of a 6-month-old female infant with Down’s syndrome with a small patent foramen ovale with left to right shunt who successfully underwent laparoscopic coloplasty. There were no intraoperative or postoperative complications. In addition to the routine anaesthetic considerations for any surgical patient, the choice of the anaesthetic technique in patients undergoing laparoscopic procedures should consider the effect on the patient’s underlying cardiorespiratory function of pneumoperitoneum and carbon dioxide insufflation.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.09.2010.3334