Eritrocitoferese pré-operatória em portador de hemoglobinopatia sc e estenose mitral / Preoperative Eritrocytopheresis in a Patient with Hemoglobinopathy SC and Mitral Stenosis

Hemoglobinopathies are associated with thrombotic complications, when exposed to cardiopulmonary bypass. A 54-year old, black woman with hemoglobinopathy SC and severe mitral stenosis was submitted to eritrocytopheresis 48 hours before mitral commissurotomy surgery. The therapeutic determined appearance of the percentual hemoglobin A of 68 with reduction the hemoglobin S of 48 to 15 and the hemoglobin C of 51 to 17. No complications occurred during postoperative period. To best of our knowledge, that is the first report about application the eritrocytopheresis in the pre operative extra corporeal circulation care in surgical treatment of patients with chronic rheumatic heart disease and hemoglobinopathy SC.