Re. Mccarthy et al., THE USE OF TOTAL CIRCULATORY ARREST IN THE SURGERY OF GIANT HEMANGIOMA AND KLIPPEL-TRENAUNAY-SYNDROME IN NEONATES, Clinical orthopaedics and related research, (289), 1993, pp. 237-242
Two neonates required deep hypothermia and circulatory arrest to provi
de a central control of blood loss for the resection of giant cavernou
s hemangiomas. Both infants were placed on cardiopulmonary bypass, coo
led to 16-degrees, and exsanguinated before resection of these periphe
ral lesions. The surgery was done as a lifesaving measure in both inst
ances because both infants were suffering from high-output cardiac fai
lure. In both cases, the small total blood volumes were critical in ex
cision of these hypervascular tumors. Use of the techniques described
allowed for the surgery to be performed in a bloodless field over a sh
ort period (one hour), thus preventing massive blood loss. Both patien
ts are living with no neurologic or developmental deficits more than f
ive years after the operations.