Open AccessLower extremity bruising in an infant with coarctation of the aorta after nasal dexmedetomidine
Author(s) -
Miller Jeff,
Shaw Elizabeth
Publication year - 2014
Publication title -
anaesthesia cases
Language(s) - English
Resource type - Journals
ISSN - 2396-8397
DOI - 10.21466/ac.lebiaiw.2014
Subject(s) - medicine , dexmedetomidine , bicuspid aortic valve , coarctation of the aorta , sedation , aortic arch , anesthesia , hypoplasia , double aortic arch , surgery , aorta , cardiology
Summary A 4‐month‐old, 6.7kg, male with 22q11.2 microduplication, coarctation of the aorta, aortic arch hypoplasia, and bicuspid aortic valve underwent aortic arch advancement as a neonate. He presented for follow‐up transthoracic echocardiography under sedation. Following administration of 2.2 μg.kg ‐1 nasal dexmedetomidine he became very fussy and both feet became hyperaemic and swollen in a “stocking” distribution. Bilateral residual bruising occurred. There were no long‐term sequelae.