Autologous Transfusion

Some patients are ideal candidates for autologous blood transfusion since they have increased central blood volume; these include patients with valvular disease and congestive heart failure, as well as patients with intracardiac shunts with cyanosis. The classic example is the polycythemia associated with tetralogy of Fallot. It is especially useful in patients with rare blood types or in those with circulating antibodies making crossmatch difficult. Drawing blood for use in autologous blood transfusions can be done 3-4 weeks preoperatively. Pre-bypass removal of one to two units of blood from the patient is also useful. This can be done through the CVP, aortic or venous cannulae.

Your Heart and Nutrition

Your Heart and Nutrition

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