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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentations

Mesenteric oxyhemoglobin desaturation improves with patent ductus arteriosus ligation

Journal of Perinatology volume 26, pages 562–564 (2006)Cite this article

Abstract

Near-infrared spectroscopy was used to monitor cerebral and mesenteric regional oximetry in a preterm neonate undergoing surgical ligation of a patent ductus arteriosus. This patient initially demonstrated severe mesenteric oxyhemoglobin desaturation, which improved immediately following ductal ligation.

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References

  1. Tortoriello TA, Stayer SA, Mott AR, McKenzie ED, Fraser CD, Andropoulos DB et al. A noninvasive estimation of mixed venous oxygen saturation using near-infrared spectroscopy by cerebral oximetry in pediatric cardiac surgery patients. Paediatr Anaesth 2005; 15 (6): 495–503.

    Article  PubMed  Google Scholar 

  2. Jan SL, Hwang B, Fu YC, Chi CS . Prediction of ductus arteriosus closure by neonatal screening echocardiography. Int J Cardiovasc Imag 2004; 20 (5): 349–356.

    Google Scholar 

  3. McGuire W, McEwan P, Fowlie P . Care in the early newborn period. BMJ 2004; 329 (74): 1087–1089.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Wyllie J . Treatment of patent ductus arteriosus. Semin Neonatol 2003; 8 (6): 425–432.

    Article  PubMed  Google Scholar 

  5. Mann D, Qu JZ, Mehta V . Congenital heart diseases with left-to-right shunts. Int Anesthesiol Clin 2004; 42 (4): 45–58.

    Article  PubMed  Google Scholar 

  6. Andropoulos DB, Stayer SA, Diaz LK, Ramamoorthy C . Neurological monitoring for congenital heart surgery. Anesth Analg 2004; 99 (5): 1365–1375.

    Article  PubMed  Google Scholar 

  7. Hayashida M, Kin N, Tomioka T, Orii R, Sekiyama H, Usui H et al. Cerebral ischaemia during cardiac surgery in children detected by combined monitoring of BIS and near-infrared spectroscopy. Br J Anaesth 2004; 92 (5): 662–669.

    Article  CAS  PubMed  Google Scholar 

  8. Cohn SM, Varela JE, Giannotti G, Dolich MO, Brown M, Feinstein A et al. Splanchnic perfusion evaluation during hemorrhage and resuscitation with gastric near-infrared spectroscopy. J Trauma 2001; 50 (4): 629–635.

    Article  CAS  PubMed  Google Scholar 

  9. Puyana JC, Soller BR, Zhang S, Heard SO . Continuous measurement of gut pH with near-infrared spectroscopy during hemorrhagic shock. J Trauma 1999; 46 (1): 9–15.

    Article  CAS  PubMed  Google Scholar 

  10. Fortune PM, Wagstaff M, Petros AJ . Cerebro-splanchnic oxygenation ratio (CSOR) using near-infrared spectroscopy may be able to predict splanchnic ischaemia in neonates. Intens Care Med 2001; 27 (8): 1401–1407.

    Article  CAS  Google Scholar 

  11. Hoffman GM, Stuth EA, Jaquiss RD, Vanderwal PL, Staudt SR, Troshynski TJ et al. Changes in cerebral and somatic oxygenation during stage 1 palliation of hypoplastic left heart syndrome using continuous regional cerebral perfusion. J Thorac Cardiovasc Surg 2004; 127 (1): 223–233.

    Article  PubMed  Google Scholar 

  12. Okada E, Firbank M, Schweiger M, Arridge SR, Cope M, Delpy DT . Theoretical and experimental investigation of near-infrared light propagation in a model of the adult head. Appl Opt 1997; 36 (1): 21–31.

    Article  CAS  PubMed  Google Scholar 

  13. Hongo K, Kobayashi S, Okudera H, Hokama M, Nakagawa F . Noninvasive cerebral optical spectroscopy for monitoring cerebral hemodynamics – basic study using indocyanine green. Neurol Res 1995; 17: 89–93.

    Article  CAS  PubMed  Google Scholar 

  14. Yao FS, Tseng CC, Ho CY, Levin SK, Illner P . Cerebral oxygen desaturation is associated with early postoperative neuropsychological dysfunction in patients undergoing cardiac surgery. J Cardiothorac Vasc Anesth 2004; 18 (5): 552–558.

    Article  PubMed  Google Scholar 

  15. Shimada S, Kasai T, Hoshi A, Murata A, Chida S . Cardiocirculatory effects of patent ductus arteriosus in extremely low-birth-weight infants with respiratory distress syndrome. Pediatr Int 2003; 45: 255–262.

    Article  PubMed  Google Scholar 

  16. Meyers RL, Alpan G, Lin E, Clyman RI . Patent ductus arteriosus, indomethacin, and intestinal distension: effects on intestinal blood blow and oxygen consumption. Pediatr Res 1991; 29: 569–574.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Pediatric Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA

    S D Meier, B K Eble, G E Stapleton & A C Chang

  2. Division of Congenital Heart Surgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA

    D L Morales

  3. Division of Pediatric Anesthesiology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA

    D B Andropoulos

Authors
  1. S D Meier
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  2. B K Eble
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  3. G E Stapleton
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  4. D L Morales
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  5. A C Chang
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  6. D B Andropoulos
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Corresponding author

Correspondence to B K Eble.

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Meier, S., Eble, B., Stapleton, G. et al. Mesenteric oxyhemoglobin desaturation improves with patent ductus arteriosus ligation. J Perinatol 26, 562–564 (2006). https://doi.org/10.1038/sj.jp.7211559

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  • DOI: https://doi.org/10.1038/sj.jp.7211559

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