Pediatric obstructive sleep apnea.

ABSTRACT

Obstructive sleep apnea in children is most commonly caused by adenotonsillar hypertrophy. Chronic longstanding hypoxia at night can lead to cardiovascular complications such as pulmonary hypertension and cor pulmonale. We reported a case of a four-year-old boy who had suffered from adenotonsillar hypertrophy and obstructive sleep disturbance for 3 years, resulting in right ventricular hypertrophy. Adenotonsillectomy was performed. Pre-operative awareness of potential omplications, good co-operation between pediatric cardiologist and pediatric anesthesiologist with post-operative monitoring in intensive care unit were essential for the success of surgical treatment.