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  • Title: [A case of heart surgery without homologous transfusion for complete atrioventricular septal defect associated with tetralogy of Fallot].
    Author: Chikazawa G, Takahashi Y, Kikuchi T, Shimokawa T, Matsushita Y, Ishii Y.
    Journal: Kyobu Geka; 2000 May; 53(5):360-2. PubMed ID: 10808282.
    Abstract:
    We performed intracardiac repair in an 11-month-old infant, weighing 5.1 kg, with complete atrioventricular septal defect and tetralogy of Fallot, who had been on a respirator, preoperatively, because of congestive heart failure due to severe common atrioventricular valve regurtitation. The preoperative angiogram revealed a very narrow and hypoplastic left pulmonary artery. Autologous blood donation after induction of anesthesia and minimalization of the cardiopulmonary bypass circuit (priming volume: 230 ml) made it possible to perform open-heart surgery without homologous blood transfusion in this case. The perioperative hemodynamics and respiratory status were satisfactory. An angiogram taken 1 year after surgery showed a well-developed left pulmonary artery.
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