title: Bloodless Repair of Isolated Pulmonary Artery in a Neonate.
abstract: Pediatric cardiac surgery, especially for small neonates, typically requires blood products to counter hemodilution during cardiopulmonary bypass. Children with congenital heart defects whose families adhere to faith-based proscriptions against blood transfusion therefore represent a challenging surgical population. Here, we report the case of a ten-day-old, 3.6-kg patient of Jehovah's Witness faith, who was diagnosed with unilateral pulmonary artery discontinuity, bilateral patent ductus arteriosus, and an otherwise structurally normal heart. Pulmonary artery reimplantation was successfully performed without giving blood products. This case adds to previous reports of successful bloodless cardiac surgery in neonates and describes the specific strategies that contributed to successful pulmonary artery reimplantation.
authors.affiliation: College of Physicians and Surgeons, Columbia University Medical Center, New York, NY, USA.
authors.forename: Hanjay
authors.initials: H
authors.lastname: Wang
authors.affiliation: Department of Clinical Perfusion, Columbia University Medical Center, New York, NY, USA.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Brewer
authors.affiliation: Department of Pediatrics, Columbia University Medical Center, New York, NY, USA.
authors.forename: Wyman W
authors.initials: WW
authors.lastname: Lai
authors.affiliation: Department of Pediatrics, Columbia University Medical Center, New York, NY, USA.
authors.forename: Ganga
authors.initials: G
authors.lastname: Krishnamurthy
authors.affiliation: Department of Surgery, Columbia University Medical Center, New York, NY, USA pjc2164@columbia.edu.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Chai
mesh_terms: D000015:Abnormalities, Multiple; D001793:Blood Preservation / Q000379:methods*; D001803:Blood Transfusion / Q000523:psychology; D057668:Bloodless Medical and Surgical Procedures / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods* / Q000523:psychology; D000075202:Contraindications; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D033221:Jehovah's Witnesses; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery*; D018633:Pulmonary Atresia / Q000175:diagnosis / Q000601:surgery*
keywords: blood conservation; cardiopulmonary bypass; congenital heart surgery; neonate; pulmonary arteries