Transfusion-free cardiac reoperation in an 11-kg Jehovah's Witness child by use of a minimized cardiopulmonary bypass circuit.
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.
Huebler
Michael
M
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum, D-13353 Berlin, Germany.
Boettcher
Wolfgang
W
Koster
Andreas
A
Stiller
Brigitte
B
Kuppe
Hermann
H
Hetzer
Roland
R
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