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Diagnostic dilemma: Low oxygen saturation during cardiac surgery


1 Department of Cardiac Anaesthesia, CNC, AIIMS, New Delhi, India
2 Department of Cardiothoracic and Vascular Surgery, CNC, AIIMS, New Delhi, India

Correspondence Address:
Shivani Aggarwal
Department of Cardiac Anaesthesia, CNC, AIIMS, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_34_17

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Year : 2017  |  Volume : 20  |  Issue : 2  |  Page : 262-264

 

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We report a case of rheumatic heart disease with severe mitral stenosis having cyanosis and low oxygen saturation on pulse oximetry. The findings of clinical examination and low values on pulse oximetry were inconsistent with the findings of normal partial pressure of oxygen and oxygen saturation on arterial blood gas analysis, leading to diagnostic dilemma. In such clinical scenario, the anesthesiologist should be aware and vigilant about the differential diagnosis of low oxygen saturation on pulse oximetry.






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1 Department of Cardiac Anaesthesia, CNC, AIIMS, New Delhi, India
2 Department of Cardiothoracic and Vascular Surgery, CNC, AIIMS, New Delhi, India

Correspondence Address:
Shivani Aggarwal
Department of Cardiac Anaesthesia, CNC, AIIMS, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_34_17

Rights and Permissions

We report a case of rheumatic heart disease with severe mitral stenosis having cyanosis and low oxygen saturation on pulse oximetry. The findings of clinical examination and low values on pulse oximetry were inconsistent with the findings of normal partial pressure of oxygen and oxygen saturation on arterial blood gas analysis, leading to diagnostic dilemma. In such clinical scenario, the anesthesiologist should be aware and vigilant about the differential diagnosis of low oxygen saturation on pulse oximetry.






[FULL TEXT] [PDF]*


        
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