Myocardial revascularization in a sickle-cell trait patient.
A 56-year-old man with confirmed sickle-cell trait AS underwent successful triple-vessel myocardial revascularization with internal mammary artery and vein conduits. Variations in routine technique included limitation in hypothermia (32 degrees C), avoidance of intraoperative autologous salvage, hypoxia, severe anemia (< 25% hematocrit), acidosis and postoperative reinfusion of mediastinal drainage.
Varvitsiotis
P S
PS
Cora and Webb Mading Department of Surgery, Baylor College of Medicine and the Houston Veterans Affairs Medical Center, Texas, USA.
Jones
J W
JW
Nahas
C
C
Beall
A C
AC
D003327:Coronary Disease / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007036:Hypothermia, Induced; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000379:methods; D008297:Male; D008875:Middle Aged; D012805:Sickle Cell Trait / Q000150:complications* / Q000503:physiopathology / Q000601:surgery