Pierre robin sequence with patent ductus arteriosus: A case report

Abstract

When Pierre Robin sequence is associated with many congenital abnormalities, prompt diagnosis and treatment are essential. As Pierre robin sequence can cause significant upper respiratory tract obstruction and aspiration pneumonia it needs detailed evaluation and early correction. Here we report a two years-old girl child with patent ductus arteriosus associated with cleft palate and tongue tie (Pierre Robbin sequence) who was promptly treated. This type of presentation is rare and important. A girl child with a Pierre robin sequence, associated with PDA was under follow-up since birth. The baby was mildly tachypnoeic & was started on diuretics at one month of age. Early closure of PDA with a device was done at 11 months of age. At the age of two years, corrective surgery was done for cleft palate, and tongue tie (Pierre Robin sequence). Pierre Robin sequence may be associated with congenital heart disease, like ventricular septal defect, patent ductus arteriosus, and atrial septal defect in 20 percent of patients. If not treated, the airway obstruction can produce cardiac or respiratory failure, pulmonary hypertension, etc. Early diagnosis and timely intervention helps to alleviate the difficulties. Antenatal screening in high-risk mothers and early identification of the congenital anomaly are the only methods to detect and treat such congenital anomalies.