| One-Stage Repair
for Infants with Complex Coarctation without Homologous Blood
Transfusion |
(Department of Cardiovascular Surgery, Sakakibara
Heart Institute, Tokyo, Japan)
| Yuko Suzuki |
Yukihiro Takahashi |
Toshio Kikuchi |
| Nobuyuki Kobayashi |
Eisaku Nakamura |
|
|
We successfully performed one-stage
definitive repair for 3 infants weighing 4.2, 6.1 and 5.2kg with
complex coarctation without homologous blood transfusion. The
priming volume of the bypass circuits was 195ml, and their lower
hematocrit values during cardiopulmonary bypass were 15，16 and
13%, respectively. In order to diminish the aortic cross clamp
time, the aortic arch was repaired with the heart beating, using
isolated cerebral and myocardial perfusion methods. The base
excess in each patient decreased to －9.4, －8.0 and －4.9mEq/l
during the rewarming phase, however, their postoperative hemodynamic
and respiratory conditions were satisfactory. They have grown
without any sequelae for at least 2 months.
Jpn. J. Cardiovasc. Surg. 29: 118-121 (2000) |
|
