A 10-year-old boy with Down’s syndrome was brought to the dental clinic by his mother because of poor dentition. It was deemed that extensive work was required, and he was scheduled for reconstruction under general anesthesia on an ambulatory basis.
The mother reported that the child had an abnormal heart sound, present from birth; she had been told that it would not cause any problems. The patient was a mouth-breather and snored loudly during sleep. He had frequent upper respiratory tract infections, the most recent one three days previously, and a poor tolerance for physical activity.
KeywordsCongenital Heart Disease Patent Ductus Arteriosus Atrial Septal Defect Ventricular Septal Defect Ventricular Septal Defect
Unable to display preview. Download preview PDF.
- 1.Hirschhorn K.: Prenatal disturbances, clinical abnormalities of the autosomes, in Behrman R.E., Vauhan V.C. HI, Nelson W.E. (eds): Nelson Textbook of Pediatrics, 13th ed. Philadelphia: WB Saunders Co, 1987, pp 254–6.Google Scholar
- 2.Lejeune MJ., Gauthier M., Turpin M.R.: Les chromosomes humains en culture de tissus. C R Seances Acad Sci (Paris) 1959, 248: 602–3.Google Scholar
- 7.Carter C.O.: A life-table for mongols with the causes of death. J Ment Defic Res 1958, 2: 64–74.Google Scholar
- 13.Millar W., Katz J.: Genetic and metabolic diseases, other hereditary disorders, in Katz J., Benumof J., Kadis L.B. (eds): Anesthesia and Uncommon Diseases. Philadelphia: WB Saunders Co, 1981, pp 70–1.Google Scholar
- 19.Prevention of bacterial endocarditis. Med Lett Drugs Ther 1987, 29(754): 109–10.Google Scholar
- 29.Coleman M., Campbell M., Freedman L.S., Roffman M., Ebstein R.P., Goldstein M.: Serum dopamine beta hydroxylase levels in Down’s syndrome. Clin Genet 1974, 312–15.Google Scholar
- 33.Eger E.I. HI: MAC, in Eger E.I. II (ed): Anesthetic uptake and action. Baltimore: Williams and Wilkins, 1974, pp 1–23.Google Scholar