title: Heart retransplantation in children without the use of blood product.
abstract: This article reports a case of a cardiac retransplantation without the use of blood products, in a 6 year old, with severe dilated cardiomyopathy after chronic graft rejection and refractory to clinical treatment. To avoid a blood transfusion in this surgery a multidisciplinary approach was planned, which involved the use of preoperative erythropoietin, acute normovolemic hemodilution and intraoperative cell savage with autologous blood recovery system, as well as a meticulous hemostasis and reduced postoperative phlebotomy.
authors.affiliation: Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brasil. antonioalceu@cardiol.br
authors.forename: Antonio Alceu dos
authors.initials: AA
authors.lastname: Santos
authors.forename: José Pedro da
authors.initials: JP
authors.lastname: Silva
authors.forename: Luciana da
authors.initials: Ld
authors.lastname: Fonseca
authors.forename: José Francisco
authors.initials: JF
authors.lastname: Baumgratz
mesh_terms: D001804:Blood Transfusion, Autologous / Q000379:methods; D002648:Child; D005260:Female; D006084:Graft Rejection / Q000601:surgery; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation / Q000379:methods*; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D012086:Reoperation / Q000379:methods; D016896:Treatment Outcome
chemical_list: D006454:Hemoglobins