title: Transfusion-free cardiac reoperation in an 11-kg Jehovah's Witness child by use of a minimized cardiopulmonary bypass circuit.
abstract: Herein, we describe the design of a perfusion system for a complex cardiovascular reoperation in an 11-kg Jehovah's Witness patient. The goal of safe, transfusion-free surgery was achieved chiefly by minimizing the priming volume of the cardiopulmonary bypass circuit to 200 mL while providing adequate flow and standard safety features.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum, D-13353 Berlin, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Huebler
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Boettcher
authors.forename: Andreas
authors.initials: A
authors.lastname: Koster
authors.forename: Brigitte
authors.initials: B
authors.lastname: Stiller
authors.forename: Hermann
authors.initials: H
authors.lastname: Kuppe
authors.forename: Roland
authors.initials: R
authors.lastname: Hetzer
mesh_terms: D000783:Aneurysm / Q000601:surgery; D001803:Blood Transfusion; D001835:Body Weight; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass / Q000295:instrumentation*; D002675:Child, Preschool; D004108:Dilatation, Pathologic / Q000601:surgery; D005260:Female; D006801:Humans; D033221:Jehovah's Witnesses; D011651:Pulmonary Artery / Q000473:pathology / Q000601:surgery; D011665:Pulmonary Valve Insufficiency / Q000601:surgery; D012086:Reoperation