Author: Michael A. Evans, MD – Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern Feinberg School of Medicine


A three-day-old neonate with a diagnosis of supracardiac total anomalous pulmonary venous return has undergone full repair on cardiopulmonary bypass (CPB). Rotational thromboelastometry (ROTEM®) is performed during the rewarming phase on CPB and prior to protamine administration. The following FIBTEM and HEPTEM Temogram curves resulted from that sample:





Based on the ROTEM® results, administration of which of the following is MOST LIKELY to correct the hemostatic abnormality?