Abstract
The patient was a 3-year-11-month-old boy with congenital heart disease (Tricuspid atresia). Dental treatment was performed under general anesthesia. The patient had been treated with Panaldine since undergoing Rt. Blalock-Taussing procedures. Anesthesia was maintained with nitrous oxide in oxygen and sevoflurane. The dental treatment went smoothly, and was finished within 1-hour-25-minutes. Anesthesia was administered for 2 hours. No complications were observed during and after the general anesthesia. Continuous observation of the arterial oxygen by pulseoximetry during dental treatment is of great importance with cyanotic patients. To prevent bacterial endocarditis, an antibiotic of the Penicilline series was administered before, during, and after surgery (orally before and after surgery and intravenously during surgery). There have been no clinical signs of infective endocarditis. The patient was discharged the next day.
