Suruchi Ladha1, Shivani Aggarwal1, Usha Kiran1, Arindam Choudhary1, Poonam Malhotra Kapoor1, Ujjwal Kumar Choudhary2
1 Department of Cardiac Anaesthesia, CNC, AIIMS, New Delhi, India
2 Department of Cardiothoracic and Vascular Surgery, CNC, AIIMS, New Delhi, India
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.
Department of Cardiac Anaesthesia, CNC, AIIMS, New Delhi
Source of Support: None, Conflict of Interest: None
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