| Open Heart Surgery without Homologous
Blood Transfusion for Cyanotic Congenital Heart Diseases |
(Department of Surgery and Department of Pediatrics*,
Sakakibara Heart Institute, Fuchu, Japan)
| Naoki Wada |
Yukihiro Takahashi |
Makoto Ando |
| Toshio Kikuchi |
Hitomi Boku* |
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We evaluated our results of open
heart surgery without blood transfusion in patients undergoing
definitive repair for cyanotic congenital heart diseases between
January 1997 to October 2003. Procedures included arterial switch
operation for those weighing more than 4kg (n＝8: group
A), modified Fontan procedure (n＝52: group B), atrioventricular
septal defect with tetralogy of Fallot repair (n＝9: group
C), and Rastelli procedure (n＝27: group D). Patients undergoing
repair for tetralogy of Fallot (n＝108) was the reference
group (group E). The success rate was 100% (8/8) in group A,
94.2% (49/52) in group B, 89% (8/9) in group C, and 85.2% (23/27)
in group D, which was comparable with group E, 97.2% (105/108).
Our strategies included use of low-priming volume cardiopulmonary
bypass circuit and autologous blood donation collected after
anesthetic induction. All groups had comparable postoperative
outcomes, with low mortality and morbidity. Early extubation
was achieved in the majority of cases. In conclusion, open heart
surgery was safely performed without blood transfusion in cyanotic
congenital heart disease.
Jpn. J. Cardiovasc. Surg. 34: 83-87 (2005) |
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