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A total correction for tetralogy of fallot without the use of homologous blood

  • Kazuhiro Kurisu
  • Kunihiro Yonenaga
  • Kazuyuki Miyamoto
  • Nobuyuki Furusho
  • Kikuo Nishimura
Orginal Article
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Abstract

In 22 consecutive patients with tetralogy of Fallot (TF), a total correction was attempted without the use of a homologous blood transfusion from September 1995 to March 1997. The 22 patients were divided into two groups according to their surgical procedures; namely, either a simple correction (group I: n = 14) or a complex correction including the relief of peripheral pulmonary stenosis and/or the division of a previous systemic-pulmonary shunt (group II: n = 8). In 77% of all patients, surgery was performed without a homologous blood transfusion. No differences were found in the non-transfusion rate and the hematocrit (Ht) values between the two groups and, as a result, we thus confirm that this additional procedure is not a risk factor for surgery without a homologous blood transfusion. According to the correlation of the red blood cell volume before and after surgery, the preoperative Ht value corresponding to the postoperative Ht of 30% could be accurately predicted. The calculated Ht values were 41.0% in the patient weighing 15 kg, 42.5% in those weighing 10 kg, and 46.9% in those weighing 5 kg. These data suggest that a surgical correction without a homologous blood transfusion can therefore be safely performed in almost all patients with TF.

Keywords

Hydroxyethyl Starch Total Correction Homologous Blood Simple Correction Autologous Blood Donation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Fachmedien Wiesbaden GmbH 1998

Authors and Affiliations

  • Kazuhiro Kurisu
    • 1
  • Kunihiro Yonenaga
    • 1
  • Kazuyuki Miyamoto
    • 1
  • Nobuyuki Furusho
    • 1
  • Kikuo Nishimura
    • 2
  1. 1.Department of Cardiovascular SurgeryKumamoto City HospitalKumamotoJapan
  2. 2.Department of Cardiovascular Surgery, Faculty of MedicineKyushu UniversityFukuokaJapan

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