title: Uncomplicated postoperative course after transfusion of 176 units of blood products during a single cardiovascular surgery.
abstract: A patient with massive perioperative bleeding after repeat aortic surgery for proximal aortic redissection, anastomotic disruption, and prosthetic infection after recent surgery for acute type A aortic dissection was managed with, in total, 176 units of blood products during a 25-hour operating room session. The postoperative course was completely uneventful. Enduring and continuous hemostasis with mediastinal gauze packing, volume replacement, and timely blood product substitution may overcome temporary coagulopathy in desperate surgical circumstances.
authors.affiliation: Deutsches Herzzentrum Berlin, Berlin, Germany.
authors.forename: Miralem
authors.initials: M
authors.lastname: Pasic
authors.forename: Axel
authors.initials: A
authors.lastname: Unbehaun
authors.forename: Giuseppe
authors.initials: G
authors.lastname: D'Ancona
authors.forename: Torsten
authors.initials: T
authors.lastname: Hillenbrand
authors.forename: Peter
authors.initials: P
authors.lastname: Bergs
authors.forename: Roland
authors.initials: R
authors.lastname: Hetzer
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001803:Blood Transfusion; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome