Jyoti M. Naitam1*, Naresh G. Tirpude2

ABSTRACT

We report a case of congenital rubella syndrome in a 3 year old female child who diagnosed with bilateral congenital cataract, bilateral nystagmus, bilateral micro-ophthalmos and microcephaly and also with uncorrected congenital heart disease such as severe pulmonary stenosis, atrial septal defect and patent ductus arteriosus with developmental delay. Congenital rubella syndrome is a constellation of multisystem abnormalities and each problem has significant anaesthetic implications. These patients are a challenge to anesthesiologists at various fronts like unanticipated airway abnormalities, uncorrected cardiac lesions, low birth weight etc. Anaesthesia for ophthalmic surgery in children with uncorrected congenital heart disease has rarely been reported. Here we describe the anaesthetic management of a child with severe pulmonary stenosis presented for cataract surgery. Keywords: Congenital Rubella Syndrome, CRS, ophthalmic surgery, Atrial septal defect, Patent ductus arteriosus, Pulmonary stenosis