title: Emergency manual systemic-to-pulmonary artery autotransfusion for severe cyanotic spell.
abstract: Cyanotic spell is an important complication of tetralogy of Fallot. We report a simple, innovative method that bailed out a patient with life-threatening, refractory cyanotic spell in the catheterization laboratory. Manual autotransfusion of blood from aorta into the pulmonary arteries resulted in significant clinical improvement.
authors.affiliation: Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India. kothariss@rediffmail.com
authors.forename: Shyam S
authors.initials: SS
authors.lastname: Kothari
authors.forename: Sivasubramanian
authors.initials: S
authors.lastname: Ramakrishnan
authors.forename: Akshay K
authors.initials: AK
authors.lastname: Bisoi
mesh_terms: D000293:Adolescent; D001011:Aorta / Q000503:physiopathology*; D001804:Blood Transfusion, Autologous / Q000379:methods*; D003490:Cyanosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D004630:Emergencies; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000503:physiopathology*; D011652:Pulmonary Circulation; D012039:Regional Blood Flow; D012720:Severity of Illness Index; D013771:Tetralogy of Fallot / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome