Abstract
Velocardiofacial or 22q11 deletion syndrome is a genetic condition caused by deletion
22q11, the deletion of a small segment of the long arm of chromosome 22. To our knowledge
this is the first case report of a woman with Velocardiofacial syndrome presenting
in late pregnancy for caesarean delivery. She had undergone a Tetralogy of Fallot
repair as an infant and had residual pulmonary regurgitation. In addition examination
revealed micrognathia and scoliosis. Neuraxial anaesthesia was unsuccessful and subsequent
conversion to general anaesthesia was necessary despite concerns regarding her facial
abnormalities, pulmonary regurgitation and mild intellectual impairment.
Keywords
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Article info
Publication history
Published online: May 25, 2011
Accepted:
December 15,
2010
Identification
Copyright
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
