Staged Arterial Switch Operation without Homologous Blood Transfusion
10.4326/jjcvs.33.114
- VernacularTitle:同種血非使用による二期的Ｊａｔｅｎｅ手術
- Author:
Takashi Tominaga
;
Yukihiro Takahashi
;
Nobuyuki Kobayashi
;
Dai Nishina
;
Toshio Kikuchi
;
Ryo Hoshino
;
Masahito Yamashiro
;
Ikuko Shibasaki
;
Kayoko Kobayashi
;
Hiroki Kouno
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(2):114-117
- CountryJapan
- Language:Japanese
-
Abstract:
Staged arterial switch operation without homologous blood transfusion was successfully performed in 5 patients weighing 4.1-11.0kg (double outlet right ventricle: 2 cases, transposition of great arteries: 3 cases). The postoperative hemodynamics and respiratory status were uneventful in all patients (initial central venous pressure after ICU admission: 9.0-14.5cmH2O, mean 12.5cmH2O, duration of intubation: 3.5-18.0h, mean 7.8h). Autologous blood donation immediately after induction of anesthesia and minimization of bypass circuit were effective methods for open heart surgery without homologous blood transfusion, particularly in staged arterial switch operation requiring prolonged cardiopulmonary bypass.
