Successful surgical treatment of a patient with aorto-caval fistula on the background of a stratified infrarenal aneurysm of the abdominal aorta without hemotransfusion (literature review and clinical case description)
DOI:
https://doi.org/10.11603/2414-4533.2019.3.10552Keywords:
aorto-caval fistula, aortography, perftoranum, autologоus reinfusion, Cell Saver deviceAbstract
Dissection of an abdominal aortic aneurysm into the inferior vena cava is a rare and very severe complication, occurring in about 1 % of cases. A particular group of patients refuses transfusion of blood and it’s components, usually because of religious beliefs. Such restrictions complicate the work of both anesthesiologists and surgeons, especially during surgery, which is accompanied by significant blood loss. Automated erythrocyte re-infusion systems based on Cell Saver technology allow blood to be collected directly from the operating wound into a sterile container with a filter and then returned to the patient. This method can be considered as an alternative to the transfusion of donor blood.
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