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British Journal of Anaesthesia, 2001, Vol. 86, No. 3 435-437
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Undiagnosed cardiomyopathy in a neonate: significance of low oxygen saturation during anaesthesia

W. Q. Smith1 and M. Abu-Harb2

Departments of 1Anaesthesia and 2Neonatology, Sunderland Royal Hospital and Sunderland Eye Infirmary, Kayll Road, Sunderland SR4 7TP, UK*Corresponding author

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.

Br J Anaesth 2001; 86: 435–7


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