Haem is associated with thrombosis in neonates and infants undergoing cardiac surgery for congenital heart disease

Vox Sang. 2018 Jan;113(1):72-75. doi: 10.1111/vox.12606. Epub 2017 Oct 16.

Abstract

Background: Haem levels are associated with thrombosis in a variety of diseases, as well as being a contributing cause of thrombotic events in animal models.

Materials and methods: We retrospectively analyzed samples from 39 children who underwent cardiac surgery with cardiopulmonary bypass, including 15 children who developed a postoperative thrombosis and 24 controls.

Results: Patients who developed thrombosis postoperatively had statistically significant higher average haem levels over time (presurgery to 12 h postsurgery) compared to patients who did not develop thrombosis.

Conclusion: Higher cell-free total haem levels are associated with a higher risk of thrombosis in a paediatric cardiac surgical cohort.

Keywords: hemostasis; red cell components; transfusion - pediatrics; transfusion - surgery.

MeSH terms

  • Biomarkers / blood
  • Cardiopulmonary Bypass
  • Case-Control Studies
  • Female
  • Heart Defects, Congenital / blood*
  • Heart Defects, Congenital / surgery
  • Heme / metabolism*
  • Humans
  • Infant
  • Male
  • Retrospective Studies
  • Risk Factors
  • Thrombosis / blood*

Substances

  • Biomarkers
  • Heme