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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2021; 08(01): 060-062
DOI: 10.1055/s-0039-1692735
Case Report

An Infant with Apert Syndrome and Tetralogy of Fallot for Craniosynostosis Correction: Anesthetic Challenges

Karen R. Lionel
1   Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India
,
Satish K. Sundararajan
1   Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India
,
Ranjith K. Moorthy
2   Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India
,
Ramamani Mariappan
1   Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India
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Abstract

Apert syndrome (AS) is an autosomal dominant disorder characterized by craniosynostosis, craniofacial anomalies, and symmetrical syndactyly of hands and feet. Ten percent children with AS can have associated congenital cardiac anomalies. Association of complex cyanotic heart disease with craniosynostosis is very rare. So far, only one case has been reported in the literature. The craniosynostosis corrective surgery is associated with the risk of massive bleeding or venous air embolism, which can cause paradoxical air embolism and precipitate cyanotic spell, which makes the anesthesia more challenging. In this report, we present the anesthetic challenges of an 8-month-old infant with AS and tetralogy of Fallot for craniosynostosis correction.

Keywords

Apert’s syndrome - tetralogy of Fallot - craniosynostosis - paradoxical air embolism - tet spell


Publication History

Article published online:
01 July 2019

© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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