• Michael Huebler, Helmut Habazettl, Wolfgang Boettcher, Hermann Kuppe, Roland Hetzer, and Matthias Redlin.
• Department of Cardiothoracic & Vascular Surgery, German Heart Institute, 13353 Berlin, Germany.
• Tex Heart Inst J. 2011 Jan 1;38(5):562-4.

AbstractIn neonates, the major obstacle to transfusion-free complex cardiac surgery is the severe hemodilution that can result from the mismatch between the priming volume of the circuit and the patients' blood volume. Herein, we report the case of a 13-day-old, 2.96-kg preterm neonate who had a hypoplastic aortic arch and atrial and ventricular septal defects. At the insistence of her Jehovah's Witness parents, we performed corrective surgery without transfusing homologous blood products--using deep hypothermic circulatory arrest in the process. A specially designed cardiopulmonary bypass circuit with a priming volume of only 95 mL was the key component of an interdisciplinary effort to avoid transfusion while maintaining the patient's safety. To our knowledge, this is the 1st report of the use of deep hypothermic circulatory arrest in blood-transfusion-free surgery to correct congenital heart defects in a small Jehovah's Witness neonate.

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