title: [A case report of graft replacement of the ascending and transverse aorta without homologous red blood cell transfusion].
abstract: A 28-year-old man of DeBakey type I dissecting aneurysm was received graft replacement of the ascending and transverse aorta under the deep hypothermic circulatory arrest and continuous retrograde cerebral perfusion for cerebral protection during circulatory arrest. From 3 weeks before operation, autologous blood was collected from the patient with the intravenous administration of a recombinant human erythropoietin (rHuEPO) and was subsequently used in the operation. As result, the graft replacement of the ascending and transverse aorta was performed without homologous red blood cell transfusion and postoperative neurological complications. We believe autologous blood transfusion with rHuEPO and circulatory arrest with CRCP contributes operations of aortic aneurysms without homologous blood transfusion.
authors.affiliation: Department of Cardiovascular Surgery, Kanto Teishin Hospital, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Sakurai
authors.forename: Y
authors.initials: Y
authors.lastname: Takeuchi
authors.forename: A
authors.initials: A
authors.lastname: Gomi
authors.forename: Y
authors.initials: Y
authors.lastname: Okamura
authors.forename: K
authors.initials: K
authors.lastname: Mitsui
authors.forename: S
authors.initials: S
authors.lastname: Yokoyama
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000601:surgery; D001011:Aorta / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D016913:Blood Component Transfusion; D001804:Blood Transfusion, Autologous; D001807:Blood Vessel Prosthesis; D002560:Cerebrovascular Circulation; D017707:Erythrocyte Transfusion; D006801:Humans; D008297:Male; D010477:Perfusion