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Myocardial revascularization in a sickle-cell trait patient
P S Varvitsiotis1, J W Jones, C Nahas
1Cora and Webb Mading Department of Surgery, Baylor College of Medicine and the Houston Veterans Affairs Medical Center, Texas, USA.
Abstract:
A 56-year-old man with confirmed sickle-cell trait AS underwent successful triple-vessel myocardial revascularization with internal mammary artery and vein conduits. Variations in routine technique included limitation in hypothermia (32 degrees C), avoidance of intraoperative autologous salvage, hypoxia, severe anemia (< 25% hematocrit), acidosis and postoperative reinfusion of mediastinal drainage.