Open Heart Surgery without Autologous Transfusion

Kim, Doo Sang; Kim, Kyung Hwan; Ahn, Hyuk; Kim, Yong Jin

Abstract

BACKGROUND: Mass transfusion after open heart surgery accompanies various complications like allergic reaction, acute respiratory distress, coagulopathy, viral diseases and so on. Currently, we are trying to reduce homologous transfusion to avoid these side effects. MATERIAL AND METHOD: To avoid the complications of homologous blood transfusion in adult cardiac surgery, we studied the possibility of cardiac surgery with only perioperative autologous transfusion. 126 patients who had underwent open heart surgery between Jan 1996 and Dec 1996 were selected as a study group. Among them, 81 patients were an autotransfusion group and 45 patients were a homologous transfusion group. RESULT: Sex, disease pattern(except aortic disease), operative procedure(except aortic surgery), aortic cross- clamp time, perioperative level of hemoglobin, hematocrit, and protein, postoperative albumin level, amount of autotransfusion and volume expander showed no statistical differences between two groups. Age, patients who had aortic surgery, cardiopulmonary bypass time, postoperatively retrieved blood volume in postoperative period, immediate postoperative level of hemoglobin and hematocrit, preoperative albumin level and postoperative mediastinal shed blood amount showed statistical differences between two groups(p<0.05).
CONCLUSION
Therefore, we concluded that autologous transfusion without homologous transfusion during open heart surgery in the adult is safe in various diseases and operations.