Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Bloodless Cardiac Surgery in a Neonate Weighing 2.8 kg

2.8 kg 신생아에서 시행한 무혈 개심술

  • Choi, Jin-Ho (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Woong-Han (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Nam, Jin-Hae (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Lee, Young-Ok (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Min, Byoung-Ju (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Lim, Hong-Gook (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 최진호 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 김웅한 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 남진혜 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 이영옥 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 민병주 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 임홍국 (서울대학교 의과대학 서울대학교병원 흉부외과학교실)
  • Received : 2010.05.07
  • Accepted : 2010.09.29
  • Published : 2010.12.05
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Abstract

Despite increased interest in bloodless cardiac surgery, its use has been mostly confined to adult patients. Especially, bloodless pediatric cardiovascular surgery using cardiopulmonary bypass has been avoided mainly due to hemodilution. Authors recently experienced a case of bloodless cardiac surgery in a 2.8 kg-weighing neonate whose parents were Jehovah's Witness.

심혈관계 수술에 있어서도 무혈수술에 대한 관심이 높아져가고 있으나, 현재까지의 무혈 심혈관계 수술은 성인 환자 층에 주로 국한되어 있다. 특히 심폐회로를 이용한 소아의 심혈관계 수술 시에는 혈액희석의 문제로 무혈수술은 기피되어 왔다. 저자들은 최근 여호와의 증인 신자를 부모로 둔 2.8 kg 환아에서 심폐회로를 이용하여 대동맥축착성형술, 심방중격결손 폐쇄술을 무혈수술로 시행한 1예를 경험하여 이에 대해 보고하고자 한다.

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References

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