Vol. 22 No. 2 (2018)
CASE REPORTS

Cardiopulmonary bypass without the use of donor blood components in heart surgery in an 8-kg infant: case report

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  • Artem Ivkin,
  • Roman Kornelyuk,
  • Dmitriy Borisenko,
  • Andrey Nohrin,
  • Dmitriy Shukevich
Artem Ivkin
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation; Kemerovo State Medical University, Ministry of Health of Russian Federation, Kemerovo, Russian Federation
Bio
Roman Kornelyuk
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation; Kemerovo State Medical University, Ministry of Health of Russian Federation, Kemerovo, Russian Federation
Dmitriy Borisenko
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation
Andrey Nohrin
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation
Dmitriy Shukevich
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation; Kemerovo State Medical University, Ministry of Health of Russian Federation, Kemerovo, Russian Federation
DOI: https://doi.org/10.21688/1681-3472-2018-2-63-67

Published 2018-08-07

Keywords

  • cardiopulmonary bypass,
  • congenital heart disease,
  • blood-saving technologies,
  • transfusion,
  • blood components,
  • case report
    • ...More
    Less

How to Cite

Ivkin, A., Kornelyuk, R., Borisenko, D., Nohrin, A., & Shukevich, D. (2018). Cardiopulmonary bypass without the use of donor blood components in heart surgery in an 8-kg infant: case report. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 22(2), 63–67. https://doi.org/10.21688/1681-3472-2018-2-63-67

Copyright (c) 2018 Ivkin A.A., Kornelyuk R.A., Borisenko D.V., Nohrin A.V., Shukevich D.L.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

The issue of rejecting donor blood components intraoperatively in children with congenital heart defects is widely discussed in the world literature. This is primarily due to the presence of a low volume of circulating blood, which leads to excessive hemodilution during artificial circulation. The purpose of this report is to demonstrate the safety and effectiveness of conducting operations associated with congenital heart defects without the use of transfusion of donor blood components. A case of surgical treatment of the interatrial septum defect in an 11-month (8 kg) infant with the use of cardiopulmonary bypass and a set of measures enabling to abandon transfusion media is presented. Retrograde filling of the oxygenator and maximum minimization of the extracorporeal circuit were used to reduce the primary volume. To ensure the required volume of blood in the cardiotomy tank, dosed vacuum was applied. Clinical and laboratory characteristics of the intraoperative and postoperative periods are given, which demonstrate sufficient oxygen supply of the organism, absence of anemia and any organ dysfunctions, as well as a low level of the systemic inflammatory response, once again confirming the immediate advantages of blood-saving technologies. Following the correction of congenital heart disease, the infant was transferred to a specialized surgical department on the second day. The outcome of the clinical case was the infant’s recovery and discharge from the hospital.

Received 17 April 2018. Revised 17 June 2018. Accepted 18 June 2018.

Informed consent: The informed consent to use the infant’s medical data for scientific purposes was obtained from his legal representative.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

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