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- L G Svensson.
- Department of Thoracic and Cardiovascular Surgery, Lahey Hitchcock Clinic, Burlington, Massachusetts 01805, USA.
- Ann. Thorac. Surg. 1999 Jun 1;67(6):1981-2; discussion 1997-8.
BackgroundThe establishment of hemostasis without the excessive transfusion of homologous blood and blood products is critical to successful aortic surgery.Methods And ResultsBy using preoperative autologous blood donation and intraoperative blood conservation measures, 85% of patients can undergo aortic surgical procedures without homologous blood or product transfusions, and almost three-quarters of patients will still not have required homologous transfusions by the time of discharge. In contrast, three-quarters of those patients who cannot donate blood preoperatively will require homologous blood transfusions.ConclusionsThe strategy described is safe: our overall survival rate for 204 patients has been 98%, with a 1% incidence of stroke.
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