Heart Failure in an Infant with Pierre Robin Sequence: Is There a Diagnostic Test to Aid in Treatment Planning and Monitoring?. (November 2015)

• Record Type: Journal Article
• Authors: Biskup, Nataliya; Francis, Stacey H.
• Is Part Of: Cleft palate-craniofacial journal. Volume 52:Number 6(2015)
• Page Start: 205
• Page End: 209
• Publication Date: 2015-11
• Subjects: airway management Pierre Robin -- conservative management Pierre Robin -- diagnosis Pierre Robin; Cleft palate -- Periodicals; Skull -- Abnormalities -- Periodicals; Cranial manipulation -- Periodicals; Skull -- Abnormalities -- Surgery -- Periodicals; Face -- Abnormalities -- Surgery -- Periodicals; Fente palatine -- Périodiques; Crâne -- Malformations -- Périodiques; Manipulation crânienne -- Périodiques; Crâne -- Malformations -- Chirurgie -- Périodiques; Face -- Malformations -- Chirurgie -- Périodiques; Cleft palate; Cranial manipulation; Face -- Abnormalities -- Surgery; Skull -- Abnormalities; Skull -- Abnormalities -- Surgery; Cleft Lip; Cleft Palate; Facial Bones -- abnormalities; Skull -- abnormalities; Periodicals; Periodicals; Periodicals; 617.522
• DOI: 10.1597/14-265
• Languages: English
• ISSNs: 1055-6656

Abstract

This case report describes an infant with Pierre Robin sequence who was managed conservatively until he presented at 4 months of age with right-sided heart failure. This rare clinical presentation displays the physiologic response to chronic respiratory obstruction and the acid-base disturbances, which become evident on metabolic panel and blood gas. We suggest that these tests can be added to the workup, especially in conservatively managed infants, to help predict which infants may fail conservative treatment and to avoid the rare complication of heart failure in infants with Pierre Robin sequence.