Utita S FORTY HOURS OF ASSISTED CIRCULATION USING A HEPARIN-COATED CIRCUIT WITHOUT HEPARIN IN A NEONATE.

Abstract

A 15-day-old boy was found to have TGA (I) and underwent the Jatene procedure, but, could not be weaned from CPB. We carried out 40 hours of assisted circulation used a heparin-coated circuit without heparin in this case. Massive pulmonary bleeding during assisted circulation was successfully controlled by heparin neutraliza tion and the use of heparin-coated circuits. Assisted circulation without systemic heparinization was performed for 40 hours without apparent complications, although thrombus was found at the filter and the reservoir.