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Ann Thorac Surg 1994;58:1166-1168
© 1994 The Society of Thoracic Surgeons

Articles

Open heart operation in a young child with spherocytosis

Youichi Kawahira, MD*, Hidefumi Kishimoto, MD, Masahiko Lio, MD, Seiichiro Ikawa, MD, Hideki Ueda, MD, Futoshi Kayatani, MD, Takeshi Nakada, MD

Departments of Cardiovascular Surgery and Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan 0003-4975/94/$7.00

Accepted for publication January 27, 1994.

* Address reprint requests to Dr Kawahira, Department of Cardiovascular Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, S40 Murodocyo, Izumi, Osaka, 590-02 Japan.

Open heart operations on patients with hereditary spherocytosis have been reported rarely. Young children who have not yet undergone splenectomy have a high risk of intraoperative hemolysis because of the heartlung machine and secondary renal failure. We report the case of a 15-month-old child with spherocytosis who underwent an open heart operation without serious complications as a result of careful and appropriate perioperative management.






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Copyright © 1994 by The Society of Thoracic Surgeons.